| NPI | 1558531962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUNG THANH NGUYEN Owner/President 408-279-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A8238) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |