| NPI | 1275319485 |
|---|---|
| Doing Business As | PARK OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | NANCY PARK WU President 310-430-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |