| NPI | 1629007463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN TAN YU Partner 323-722-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2010-03-15 |