| NPI | 1770539702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GRANT President 714-738-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA G32479) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-03-04 |