| NPI | 1295986859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGDEEP SINGH TUNG Doctor/Owner 714-336-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO A92233) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A92233) |
| 207R00000X Internal Medicine (Licence: CA A92233) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA A92233) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2016-09-07 |