| NPI | 1801519624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNY CARDENAS President/ CEO 661-878-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |