| NPI | 1265730808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GUTIERREZ Medical Billing 760-200-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 00A848230) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2012-12-03 |