| NPI | 1104281021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY T NGUYEN Billing Coordinator 657-549-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF344001) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |