| NPI | 1154589331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOA PHUONG NGUYEN President 619-758-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA OPT 12630T) |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2008-05-24 |