NPI | 1942624671 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY KANG CEO 818-385-0916 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA AC5730) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2014-02-18 |