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 |