| NPI | 1942470257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHONA FRIAS YU Owner 323-982-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA D46003) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |