| NPI | 1235325671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND S DUONG Owner 772-770-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 000122-006426) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-05-07 |