| NPI | 1134650500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANG YUP KIM Secretary 562-606-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5105) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-12-20 |