| NPI | 1124280201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUC DANG NGUYEN President 714-898-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A32505) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |