| NPI | 1215445291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAM HOANG NGUYEN President 408-258-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2021-11-15 |