| NPI | 1578806881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN BIJAN TAWAKOL CEO 602-885-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |