| NPI | 1548700552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN A RABBANI President 818-985-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11736T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 11736T) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 11736T) | |
| 152WS0006X Optometrist, Sports Vision (Licence: CA 11736T) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA 11736T) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: CA 11736T) | |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |