| NPI | 1255651378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS SANGSOO PARK President 310-613-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G79245) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2017-10-12 |