| NPI | 1609054949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNG-JUN PARK President 703-992-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0104556502) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |