| NPI | 1356563753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE SUNG HO CHIN Administrator 818-780-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 060000837) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-09-24 |