| NPI | 1366630212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY GALVAN O PT Ometrist 562-698-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT7192TPA) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |