| NPI | 1831870195 |
|---|---|
| Doing Business As | UNITED MD EXECUTIVE AND WELLNESS PHYSICAL |
| Entity Type | Organization |
| Authorized Contact | ELLEN SONG President 714-904-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |