| NPI | 1659769404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN VO CEO And President 760-352-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001830) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |