| NPI | 1144497710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE MEEJEONG PARK Optometrist 714-680-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA CA OPT 9747 T) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |