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 |