| NPI | 1669553236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D NGUYEN Medical Director 562-867-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A54119) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A35568) |
| 208D00000X General Practice (Licence: CA A62976) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |