| NPI | 1194107300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOC DUNG TRAN DINH Officer 310-634-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD.OD.60573156) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |