| NPI | 1528822210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANG T NGUYEN President 714-321-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |