| NPI | 1992126759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEIKUANG LEE Owner 760-383-1168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA AC13579) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |