| NPI | 1932546934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAMPHA THEPHAVONG President/CEO 559-226-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 209790) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |