| NPI | 1366811226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE TAKAKI Optometrist 818-640-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 9350T) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-12-10 |