| NPI | 1447656830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOUNG LO President/Chief Manager/Secretary 651-340-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |