| NPI | 1841612959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE W CHUN Owner 714-996-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10716T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 10681T) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-08-15 |