| NPI | 1225279953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID-TRUNG D. NGUYEN President 909-883-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA a82169) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2014-01-27 |