| NPI | 1942236674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAI KWONG LEE Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A69722) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A69722) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-09-11 |