| NPI | 1720334279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUONG-VI TA President 510-836-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A37356) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A37356) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |