| NPI | 1629584479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINHO SONG Owner/CEO 310-532-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2106320) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |