| NPI | 1760638761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM L NGUYEN President 760-220-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |