| NPI | 1407080468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON JUNG President 661-326-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A47812) |
| Additional Taxonomies | 103T00000X Psychologist |
| 174400000X Specialist (Licence: CA A41492) | |
| 207N00000X Dermatology (Licence: CA A40540) | |
| 207P00000X Emergency Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A24185) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G58099) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A72152) | |
| 207X00000X Orthopaedic Surgery (Licence: CA G28242) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A25213) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A89459) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |