| NPI | 1710057245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUFINA T ARGUELLO Billling Supervisor 213-625-2694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G49917) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G50632) |
| 207W00000X Ophthalmology (Licence: CA A86442) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-10-28 |