| NPI | 1376809723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN K. MAESTAS Practice Manager 415-387-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A95763) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2019-10-09 |