| NPI | 1649224049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL TELLER President 323-662-9629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: CA A20843) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |