NPI | 1730534330 |
---|---|
Doing Business As | NORTHERN CALIFORNIA ADVANTAGE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | HUY N TRINH President 408-878-1653 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2016-05-02 |
Last Update Date | 2016-05-02 |