| NPI | 1306322391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH NGUYEN CEO 623-374-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 35198) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-12-06 |