| NPI | 1134173099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATIN KHOSHNEVIS Md/Owner 916-863-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-03-08 |