| NPI | 1003134438 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROSIE ISELA OLIVAS Office Manager 310-248-7474  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A44942)  | 
| Enumeration Date | 2010-05-10 | 
| Last Update Date | 2010-05-10 |