| NPI | 1649601113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAN NGUYEN CEO 858-754-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C53916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G67119) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2019-05-10 |