| NPI | 1649203639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI R REDDEN Billing Specilist 805-987-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G70688) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-05-07 |