| NPI | 1053645648 |
|---|---|
| Doing Business As | MARK ROSA OD |
| Entity Type | Organization |
| Authorized Contact | DEBI NEE Manager 951-681-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 8575T) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2011-10-19 |