| NPI | 1053010975 |
|---|---|
| Doing Business As | ORANGE IVY RETINA |
| Entity Type | Organization |
| Authorized Contact | WEI GUI CEO 949-228-9981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |