| NPI | 1588103790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA DERKALOUSDIAN Owner 818-952-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CA D70721) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |