| NPI | 1922993815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRANG MINH VU Manager/CFO 714-383-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 207QS0010X Family Medicine, Sports Medicine | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-09-19 |