| NPI | 1740458868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEN HONG LEE Managing Physician 626-571-6641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A44281) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2024-05-28 |