| NPI | 1528300456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE CHI-LONG CHEN Medical Director 310-598-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G76785) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |