NPI | 1316168636 |
---|---|
Doing Business As | PACIFICA SUR MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JYH CHANG President 626-962-5141 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A46003) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G80349) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2010-12-06 |