| NPI | 1205171394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ALVARDO Owner/O PT Ician 818-247-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA SL74) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |