| NPI | 1790096022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH T NGUYEN Secretary Treasurer 818-243-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-06-20 |