| NPI | 1649823618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SAND Agent Of Service 310-750-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-12-14 |