| NPI | 1518642362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN PIRAKITIKULR Owner/Physician 858-500-5851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-12-07 |