| NPI | 1649911371 |
|---|---|
| Doing Business As | PROSPER OAK MEDICAL |
| Entity Type | Organization |
| Authorized Contact | EDWARD T LIN CEO 310-483-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-12-07 |