| NPI | 1699232454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONGJA BENA WON CEO/President 213-385-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208D00000X General Practice | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2022-03-02 |