| NPI | 1801094149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VU T TRUONG Vice President 909-383-0594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A80779) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2007-07-09 |