| NPI | 1891095683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BON JA SHIN President 213-283-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA AC 11329) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |