| NPI | 1922832682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEI HONG YANG CEO 725-232-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |