NPI | 1053652354 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL K CHUNG Physician Owner 626-572-3088 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A33894) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A33894) |
208600000X Surgery (Licence: CA A33894) | |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-07-29 |