| NPI | 1255103149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PHUONG MINH TRAN Chief Operation Officer 714-342-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |