| NPI | 1205847746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED A TAWANSY Owner 661-327-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13086t) |
| 156FX1800X Technician/Technologist, Optician | |
| 208600000X Surgery (Licence: CA g30637) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-01-16 |