NPI | 1467762294 |
---|---|
Entity Type | Organization |
Authorized Contact | LONG THANH DUONG Medical Director 714-554-7350 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A74045) |
Enumeration Date | 2010-10-14 |
Last Update Date | 2022-08-02 |