| NPI | 1073855011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURY-YING KHON President 424-234-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 132700000X Dietary Manager | |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2013-03-21 |