| NPI | 1629241203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BA XUAN NGUYEN Owner/President 805-487-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A89952) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A89952) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |