| NPI | 1720274731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAO Q TRAN Owner 714-336-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A90007) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |