| NPI | 1770718348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LY KIM KOUCH Family Nurse Practitioner 626-453-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 540660) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |