| NPI | 1003953530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH ESTWICK Medical Director 310-390-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA a41775) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-07-12 |