NPI | 1922062074 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN SUNG Business Manager 714-754-0310 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA A31399) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2010-11-23 |