| NPI | 1255511796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L. AUERBACH Optometrist 323-465-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9938T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12815T) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |