NPI | 1982861431 |
---|---|
Entity Type | Organization |
Authorized Contact | HUNG QUOC LE President 916-383-5171 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 49132) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |