| NPI | 1073957239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM T NGUYEN Manager 714-583-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2015-09-11 |