| NPI | 1083387898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUN JEA KIM Chairman Of The Boad 213-880-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-05-01 |