| NPI | 1699953695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY INJA KIM President 714-562-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G57460) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2020-06-08 |