NPI | 1164567004 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA ORDUNEZ Business Office Manager 818-845-3557 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G034555) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT5501TPA) |
152W00000X Optometrist (Licence: CA OPT12823TPA) | |
152W00000X Optometrist (Licence: CA OPT12974TPA) | |
152W00000X Optometrist (Licence: CA OPT12879TPA) | |
207W00000X Ophthalmology (Licence: CA G48218) | |
207W00000X Ophthalmology (Licence: CA A79304) | |
207W00000X Ophthalmology (Licence: CA A75480) | |
207W00000X Ophthalmology (Licence: CA G64713) | |
Enumeration Date | 2007-02-20 |
Last Update Date | 2022-04-12 |