| NPI | 1306112149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAIDUONG H NGUYEN Owner 213-862-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 22593) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |