| NPI | 1629375845 |
|---|---|
| Doing Business As | UCLA JSEI NON PARTICIPATING OPTOMETRISTS |
| Entity Type | Organization |
| Authorized Contact | BARTLY J MONDINO Chairman 310-825-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |