| NPI | 1518523810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH Q NGUYEN President 855-830-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-04-30 |