| NPI | 1699267146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ERICKSON Billing Coordinator 510-679-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A87857) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2020-06-22 |