| NPI | 1851324206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WONG President 626-281-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-03-20 |