| NPI | 1184122624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGUYEN LU Office Manager 714-471-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-10-31 |