| NPI | 1275943664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DENQ Chief Executive Officer 626-281-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA A65839) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |