| NPI | 1487965760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BA X. NGUYEN President 805-487-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A31757) |
| Additional Taxonomies | 261Q00000X (Licence: CA A31757) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |