| NPI | 1629803168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSEF KANGARANI Manager 818-241-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2026-06-30 |