NPI | 1720112170 |
---|---|
Entity Type | Organization |
Authorized Contact | CALVIN THOMAS ENG Physician 626-796-7006 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA G55239) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2008-02-15 |