| NPI | 1225536915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR Y KIM Owner 443-570-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D51586) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2018-01-27 |
| Last Update Date | 2025-02-06 |