| NPI | 1689973653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED A TAWANSY Ophthalmologist 323-257-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G767620) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-10-04 |