| NPI | 1376435453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD PYO CEO 657-799-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |