| NPI | 1881608149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG T NGUYEN CEO 949-764-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G76446) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |