| NPI | 1124171657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN DANIEL JARUS President 562-945-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: CA G36924) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2017-04-21 |