| 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 |