| NPI | 1316474547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIMM LAM Vice President 323-484-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14735TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14843TLG) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |