| NPI | 1881707008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W CHANG President 310-396-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A77448) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-10-04 |