| NPI | 1033122957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINE K FAHD Owner 714-842-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A61148) |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-12-27 |