| NPI | 1942309497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HONG VO Office Manager 323-225-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A53847) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A35695) |
| 208000000X Pediatrics (Licence: CA A53847) | |
| 208D00000X General Practice (Licence: CA A33894) | |
| 363A00000X Physician Assistant (Licence: CA PA 13853) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |