| NPI | 1215574470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH NGUYEN CEO 623-374-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |