| NPI | 1669889747 |
|---|---|
| Doing Business As | SOUTHLAND OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | REZAH S MOHAMED President 818-506-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12960TLG) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2017-05-08 |