| NPI | 1497371348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINSON KIEN DIEP President 808-227-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-11-04 |