| NPI | 1104221035 |
|---|---|
| Doing Business As | MACULA RETINA VITREOUS CENTER |
| Entity Type | Organization |
| Authorized Contact | MEHRAN TABAN Physician 424-247-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A108546) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-01-30 |