| NPI | 1609325588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DZUNG A PHAM Doctor 949-654-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A6269) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |