| NPI | 1598245615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT LEUNG Physician/CEO 310-928-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| 333600000X Pharmacy | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |