| NPI | 1528280930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAT T NGUYEN Owner 925-460-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA G075447) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G75447) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-10-04 |