| NPI | 1740822394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LOPEZ Office Administrator 909-320-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2020-10-12 |