| NPI | 1912052275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LEE Owner 626-300-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A062246) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-08-25 |