| NPI | 1437422185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDEH MOTAMENI Optometrist, Owner 310-391-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9453T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 9453T) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 9453T) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA 9453T) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2017-01-10 |