NPI | 1235168055 |
---|---|
Doing Business As | SAN PEDRO EYE CARE |
Entity Type | Organization |
Authorized Contact | GENE DAVID CALKINS Owner/Partner 310-833-1327 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 7967) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 4919) |
174400000X Specialist (Licence: CA G14368) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2018-12-14 |