NPI | 1730139353 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY THONG PHAN President CEO 805-526-3213 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G83470) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2019-08-21 |