NPI | 1093957888 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDY OJEDA Billing Department 909-986-0918 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6807) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 6806) |
152W00000X Optometrist (Licence: CA 12804) | |
Enumeration Date | 2009-03-25 |
Last Update Date | 2010-08-18 |