| NPI | 1467892745 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARK MYUNGJAE SONG President 714-626-0700  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A49785)  | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| Enumeration Date | 2013-07-01 | 
| Last Update Date | 2013-07-08 |