| NPI | 1386367936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYUNG CHOON PARK Doctor/Owner 661-746-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |