| NPI | 1154860088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYE WON LEE CEO 310-398-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 0002515112-0001-9) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2017-02-12 |