| NPI | 1841680493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUONG DUY VO President 661-593-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X (Licence: CA A104152) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A104152) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2019-07-03 |