| NPI | 1457082794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANG JUNG LEE CEO 213-527-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-07-18 |