| NPI | 1306966270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH HUY PHAM Optometrist 510-733-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 12052t) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-01-02 |