| NPI | 1588893366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOC HOANG NGUYEN Manager 602-345-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 35957) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2011-10-22 |