| NPI | 1639313844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG DAE LEE Medical Director 323-937-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000919) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |