| NPI | 1962755702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAN President 714-546-6600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A36431) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |