| NPI | 1649354366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KYUNG-UK PARK Medical Director 949-757-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A050474) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |