| NPI | 1861472300 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | DING S. LAM Medical Doctor 626-571-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A32527) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |