| NPI | 1881216208 |
|---|---|
| Doing Business As | MONIQUE K PHAN |
| Entity Type | Organization |
| Authorized Contact | MONIQUE K PHAN President 657-390-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |