| NPI | 1629152814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEVEN SABLE Member 619-216-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist Ocularist (Licence: CA G56599) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |