| NPI | 1518765494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA CHAN Medical Director / Owner 626-449-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |