| NPI | 1336213099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM CHANG Owner 626-676-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 550000023) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-02-03 |