NPI | 1548630544 |
---|---|
Doing Business As | SOUTHWOOD OPTOMETRY |
Entity Type | Organization |
Authorized Contact | MATTHEW MATSUNAGA President/Optometrist 310-316-6726 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14897TLG) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2015-10-02 |