| NPI | 1710200464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NGUYEN President 760-446-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A109246) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |