NPI | 1659516094 |
---|---|
Doing Business As | SAME |
Entity Type | Organization |
Authorized Contact | ILKYOON KIM CEO 707-994-4210 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A-34081) |
Enumeration Date | 2008-12-15 |
Last Update Date | 2013-04-12 |