| NPI | 1780191627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN WANG Office Manager 626-808-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05553) |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2019-10-17 |