| NPI | 1831335579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN THUYMINH LEE Owner 408-270-7723 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 47750) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |