| NPI | 1407044118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOOYOUNG CHUNG Member Manager 808-949-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 202K00000X |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-10-17 |