| NPI | 1295907673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE R GIBEAUT Practice Administrator 415-922-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G79065) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2022-12-07 |