| NPI | 1265898373 |
|---|---|
| Doing Business As | HACIENDA PARK OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | KETUL JOSHI Owner/Partner, Optometrist 415-902-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12154TLG) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |