NPI | 1376964064 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER UNG KWON KIM President 562-402-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 49769) |
Enumeration Date | 2013-12-23 |
Last Update Date | 2013-12-23 |