NPI | 1538497813 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE THUAN VU Owner/ Medical Director 714-393-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A64785) |
363A00000X Physician Assistant (Licence: CA PA16671) | |
363A00000X Physician Assistant (Licence: CA PA10031) | |
Enumeration Date | 2009-11-25 |
Last Update Date | 2010-09-22 |