| NPI | 1073153250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHEN President 800-475-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2021-11-29 |