| NPI | 1083007140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM S CHANG Founder 626-568-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A69909) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA A69909) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |