| NPI | 1538679915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M JOSEPH Owner 949-424-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-10-18 |