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 |