| NPI | 1699749747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH CONG TRAN CEO 408-281-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A68365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A8238) |
| 208D00000X General Practice (Licence: CA A52085) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-20 |