| NPI | 1114310083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA EUN HAE LEE President 760-941-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G79537) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |