| NPI | 1902065220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAE YOUNG AARON SONG Owner 714-310-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA a68359) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-10 |