| NPI | 1346590098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGDO PARK Owner 213-989-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A107642) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-10-24 |