| NPI | 1942659099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AN V NGUYEN Owner 760-865-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 56731) |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care (Licence: CA 56731) |
| 261QP3300X Clinic/Center, Pain (Licence: CA 56731) | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA 56731) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |