| NPI | 1740969591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAESOON LEEM President 213-210-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-27 |