| NPI | 1407267586 |
|---|---|
| Doing Business As | MIRAE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | HEE SOO JEONG President 213-387-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A105825) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |