| NPI | 1619367794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENEESE NGUYEN Owner 949-215-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A61958) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2016-02-10 |