| NPI | 1811268964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEANGLONG TE President 714-376-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A106386) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2023-07-31 |