| NPI | 1144992785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIJA SUNG Office Manager/Administrator 858-774-7287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |