| NPI | 1588156541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH Q. NGUYEN Owner 855-830-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036139055) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-04-30 |