| NPI | 1174693881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KHAI TUAN TIEU President Md 714-418-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A77268) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-08-30 |