| NPI | 1194243394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN PORTER Practice Manager 951-303-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA 54383) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-03-07 |