NPI | 1275143661 |
---|---|
Doing Business As | WESLEY F TOM OD |
Entity Type | Organization |
Authorized Contact | WESLEY FONG TOM Chief Executive Officer 213-220-9241 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2020-07-31 |
Last Update Date | 2023-11-27 |