| NPI | 1124224738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRANG D. NGUYEN Owner 408-263-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA G077716) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2017-06-23 |