| NPI | 1699029967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN ROMEO MARTINEZ Optician 562-261-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 37867) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |