| NPI | 1689948044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SUNGWOOK HONG President/Provider 858-720-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A8140) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |