| NPI | 1740213198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TSUNG LUNG HO Owner 213-687-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G77152) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A55242) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-09-01 |