| NPI | 1407201676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER JUNG KIM CEO/Medical Director 323-909-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |