| NPI | 1265502017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAEWON SONG M.D. 714-534-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C52295) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-11-07 |