| NPI | 1730826694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE YU HENG CHENG Physician 626-384-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-08-29 |