| NPI | 1396162418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY JAY GOTTLIEB President 562-420-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6451T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13929T) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |