| NPI | 1114160892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI K TRAN O PT Ometrist 714-889-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA OPT 13598T) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2009-04-11 |