| NPI | 1477085330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CHOI Resident 818-671-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |