| NPI | 1215359450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHU CEO 323-268-8347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G56407) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA15296) |
| 213E00000X Podiatrist (Licence: CA E4677) | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2016-07-20 |