NPI | 1528194925 |
---|---|
Entity Type | Organization |
Authorized Contact | SANG(JAMES) JOON PAK Owner 818-782-0411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E4251) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-11-08 |