| NPI | 1255453668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIN PARK CEO 213-385-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 47406) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2012-05-31 |