| NPI | 1669648671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYUNG LEE President 760-242-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA AC 12286) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2013-01-04 |