| NPI | 1588969026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI TUYET PHAN M.D. 818-342-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA A51466) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-10-07 |