| NPI | 1760532543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMSONG WATTANASAKUL TONGBAI President 714-564-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A31437) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |