| NPI | 1073908349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY YANG Md 949-393-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA OMS84) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-07-22 |