| NPI | 1588737035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI FETT Administrator 310-442-9262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA 9300009000) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |