| NPI | 1487056982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMOLTIPYA CATHLEEN KUNNAWUTHIDEE President 323-928-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 00A355570) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2015-06-17 |