| NPI | 1114230315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOO R KIM Owner 661-831-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 00A380850) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |