| NPI | 1215311394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE M TRAN President 626-576-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 57236) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2016-02-17 |