| NPI | 1699822239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE TZ TAN President 310-638-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A47880) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-03-19 |