| NPI | 1629659016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOON PARK Director Of Network Development 323-639-6593 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |