| NPI | 1356893309 |
|---|---|
| Former Legal Business Name | DESCANSO EYE CARE |
| Entity Type | Organization |
| Authorized Contact | JESSICA J WONG Sole Owner/President 818-928-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A120973) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2017-02-08 |