| NPI | 1558012997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DO-EUN LEE Owner 707-235-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-03-01 |