| NPI | 1124119979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGA WAN WONG Vice President 714-898-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: CA A26311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A26311) |
| 208D00000X General Practice | |
| 208D00000X General Practice (Licence: CA A25684) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-12-03 |