| NPI | 1235654344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XU SHAO HUANG Manager 760-342-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0009X Ophthalmology, Glaucoma Specialist | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-05-20 |