| NPI | 1346287414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD MANDEL Secretary Treasurer 510-886-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA 140000450) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-07-11 |