| NPI | 1063459725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HENRICK President 949-588-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G36573) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G73434) |
| 207W00000X Ophthalmology (Licence: CA A77935) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-03-15 |