| NPI | 1356392278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S KIM President 657-241-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine Sports Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-02-21 |