| NPI | 1689683278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT DE LA PENA Owner 323-728-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-02-02 |