| NPI | 1659561512 |
|---|---|
| Doing Business As | MEDICAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | DUC DINH VO President 858-560-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A43289) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |