| NPI | 1508980400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYO-RANG LEE President 323-938-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 2910287) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |