| NPI | 1942724778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK TAN DEE President 310-408-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A65423) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A78281) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-17 |