| NPI | 1962183715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S. LAM Manager 626-943-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2024-04-30 |