| NPI | 1255718516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH C NGUYEN CEO 623-374-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 152W00000X Optometrist | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |