| NPI | 1821498387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUNTIDA KATHY SANGPRASIT O PT Ometrist/Owner/CEO 310-375-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13363) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |