| NPI | 1740692730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANG THAI NGUYEN President 858-457-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A90876) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2015-07-21 |