| NPI | 1073709598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGG V. ANTLE M.D. 760-726-6451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA C30527) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-20 |