| NPI | 1093087694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM S CHANG Owner 626-568-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 060000365) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2016-02-24 |