| NPI | 1306071055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MI-JIN LIM President 949-413-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10904T) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CA 10904T) |
| 152WP0200X Optometrist Pediatrics (Licence: CA 10904T) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |