| NPI | 1760644140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LI HAN Owner 626-589-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA LAc 11061) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |