| NPI | 1811492952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA S NUNEZ Practice Administrator 858-609-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2021-06-24 |