| NPI | 1386822047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL J KIM Medical Director 323-525-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000925) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2010-11-12 |