| NPI | 1093285918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SUNGHO AHN CEO 760-987-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |