| NPI | 1730290958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL S QUAN Office Manager 666-255-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-02-06 |