| NPI | 1841741766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIDAO NGUYEN Internist 909-786-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003419) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |