| NPI | 1093918872 |
|---|---|
| Doing Business As | BOLSA-WARD MEDICAL CLINIC, INC. |
| Entity Type | Organization |
| Authorized Contact | PHU VAN DANG President 714-531-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A65421) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A41591) |
| 207Q00000X Family Medicine (Licence: CA A42349) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-05-20 |