| NPI | 1578869004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R MENDOZA FAJARDO Optician/Manager 213-380-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CA D3788) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |