| NPI | 1760162358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUONG VU President 760-545-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |