| NPI | 1811140536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CHIEM Secretary 714-761-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 49290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A61531) |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2008-10-25 |