| NPI | 1225401672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUU PHAM Medical Director 562-842-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2017-07-31 |