NPI | 1255920062 |
---|---|
Entity Type | Organization |
Authorized Contact | JOO-HYUNG LEE President 714-245-0492 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2021-01-15 |
Last Update Date | 2023-12-07 |