| NPI | 1093994857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINH PHUONG TRAC President 510-862-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 54033) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-07-15 |