| NPI | 1912316787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HONG Owner/Pres 760-243-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 36085) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-11-25 |