| NPI | 1760706576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KITTY WEN Administrator 909-525-5647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: CA LC20080000366) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2017-02-23 |