| NPI | 1720878382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUAN WANG Manager 626-319-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-08 |