| NPI | 1114121407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUC DANG NGUYEN President 714-893-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A32505) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2018-10-29 |