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 |