| NPI | 1497881007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ALEXANDER BRUCE-LYLE Doctor 909-799-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A51441) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-02-15 |