| NPI | 1235231598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ENRIQUE MARTINEZ Owner 562-421-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A68745) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G84806) |
| 152W00000X Optometrist (Licence: CA OPT8329TPA) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2021-08-24 |