| NPI | 1659520666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAI KEVIN NGUYEN President/Owner 408-929-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA A88085) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |