| NPI | 1114457538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY YOU-GANG CHEN Owner 213-765-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207X00000X Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 2083X0100X Preventive Medicine Occupational Medicine | |
| 208600000X Surgery | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2021-11-04 |