| NPI | 1922141217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN CHAN M.D. 626-446-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-11-06 |