NPI | 1447477898 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW S. SUN Provider/Owner 626-308-0660 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G13537) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G13537) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2011-08-01 |