| NPI | 1760689624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KYOO-HAE HWANG Owner 310-838-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT13049) |
| 207W00000X Ophthalmology (Licence: CA G39062) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-05-26 |