| NPI | 1679799852 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | YOUNG D PARK Owner 909-823-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 1549) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |