| NPI | 1215178736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUAN A PHAM President 909-941-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A62514) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A62514) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2017-07-18 |