| NPI | 1174735963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY REGALADO Licensed O PT Ician 650-736-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CA SL 4881) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |