| NPI | 1780848473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JEFFREY GORDON President 323-931-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA G9592) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2009-07-14 |