NPI | 1104470384 |
---|---|
Doing Business As | SHINY STAR MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | EMMELINE CHAN Vice President 323-685-2070 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-07-26 |