| NPI | 1679736268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKCHAI BHAVABHUTANON CEO 626-300-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20a7134) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-03-06 |