| NPI | 1932583648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOW YB LEE Owner 626-821-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A100813) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |