NPI | 1265825327 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM S CHANG Owner 626-568-8838 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA A69909) |
174400000X Specialist (Licence: CA A69909) | |
Enumeration Date | 2015-03-13 |
Last Update Date | 2021-07-19 |