| NPI | 1578939369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOAN T TYLER NGUYEN President 800-472-9173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A65048) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |