NPI | 1386848216 |
---|---|
Doing Business As | PENDLETON EYE CENTER A PROFESSIONAL CORPORATION |
Entity Type | Organization |
Authorized Contact | ROBERT BRIAN PENDLETON Medical Director 760-758-2008 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G83487) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
261Q00000X Clinic/Center (Licence: CA G83487) | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2010-01-06 |