| NPI | 1568985463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOONG GAP KIM President 310-965-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA CA18720) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A39214) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2018-03-17 |