| NPI | 1487441887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYOUNG KWAK Owner 703-994-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2026-03-17 |