| NPI | 1235311473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY H DANG Owner 714-775-7045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11249T) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CA 11249T) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: CA 11249T) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |