| NPI | 1487020723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA Y HONG Vice President 703-798-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0401410505) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |