| NPI | 1285981902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA HUTTAYASOMBOON Nurse Practitioner 626-319-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA 21685) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |