| NPI | 1649205162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL YOSHIAKI OUCHI President 323-266-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 24580) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |