| NPI | 1477871390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HAN Owner 818-832-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 11143t) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-19 |