| NPI | 1629383740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE WALKER Contracts Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A85637) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2011-06-14 |