| NPI | 1568504603 |
|---|---|
| Doing Business As | SON THAI NGUYEN, MD |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA G58897) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-06-16 |