| NPI | 1952355851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WING CHAN Medical Director 626-308-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 930000997) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2013-01-28 |