| NPI | 1952734832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE T NGUYEN Officer 714-386-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-10-20 |