| NPI | 1215977723 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAT WILLIAM NGUYEN President 866-284-2771  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83262)  | 
| Enumeration Date | 2006-06-07 | 
| Last Update Date | 2024-06-17 |