| NPI | 1427185990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J MIYAMOTO Optometrist 310-538-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 7016TPA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 10386TPA) |
| 152W00000X Optometrist (Licence: CA 11361TPA) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-05-14 |