| NPI | 1386855542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE HOANGLAN DOAN Owner 800-409-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200601901) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2007-10-04 |