| NPI | 1699929026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOAN DUY NGUYEN Owner Doctor 562-926-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 45302) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |