| NPI | 1912374950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW K MO President 626-284-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A37444) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A37444) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-26 |