NPI | 1811120595 |
---|---|
Doing Business As | BLUE MOUNTAIN NATURE CLINIC |
Entity Type | Organization |
Authorized Contact | KWEON YOUNG YOO President 213-251-9911 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA AC6721) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2009-08-28 |