| NPI | 1629897517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAMS Director 714-738-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |