| NPI | 1790908259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN-HOANG LU MAI Physician Assistant 562-806-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA18238) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |