| NPI | 1144910639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ESPINOZA Insurance Specialist/Billing Super 760-729-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |