| NPI | 1043406606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P LEE Medical Director 626-965-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2022-07-21 |