| NPI | 1215021167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEU SANH NGUYEN Physician/CEO 310-675-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A43217) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-12-04 |