| NPI | 1114010949 |
|---|---|
| Doing Business As | MODESTO RETINA CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | JOEL PEARLMAN President 916-596-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-10-06 |