| NPI | 1073397287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIMENG MA Owner 626-679-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |