| NPI | 1396118162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY VIENVUONG Pharmacist 626-350-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: CA 5) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2022-07-21 |