| NPI | 1457230625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYANA KO President 424-728-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |