| NPI | 1295969780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BAE KANG Owner 626-821-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA A97267) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2011-12-20 |