| NPI | 1780215681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY MAI Md 623-374-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-04-30 |