| NPI | 1750551321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS YUKIO NAKATANI Optometrist 760-775-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 4767) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |