| NPI | 1275186793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SEUNG KI KIM CEO 909-521-8818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| 225100000X Physical Therapist | |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2020-04-06 |