| NPI | 1396425567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CHU Owner 949-559-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |