| NPI | 1225047509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM EBBIE SOROUDI A Professional Medical Corporation 310-770-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A75978) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-01-26 |