| NPI | 1750697736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A. BOXRUD Medical Director 310-829-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: CA A50569) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2012-04-12 |