| NPI | 1306025390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CHANG Owner 213-627-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12236T) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2009-03-19 |