| NPI | 1740553775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J PARKS President 310-289-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA G78517) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2017-04-10 |