| NPI | 1336254770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE NEAL Assistant Secretary 844-377-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA CLN2276) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-02-05 |