| NPI | 1295013712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH BHOGILAL SUTHAR Owner 909-660-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G86105) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2017-12-11 |