| NPI | 1972900637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE DACANAY Owner 626-961-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 12589T) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-25 |