| 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 |