NPI | 1487807368 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA D SULLIVAN Practice Administrator 310-208-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2008-10-23 |
Last Update Date | 2015-03-19 |