| NPI | 1043424781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNA PISKOVA Owner 661-869-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A52376) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA A52376) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA A52376) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-10-14 |