| NPI | 1750854071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH NGUYEN CEO 623-374-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |