| NPI | 1033226600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAESOO PAK Medical Director 562-809-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: W22596) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-01-06 |