| NPI | 1851561716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MAYO President 714-475-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA G83501) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 20A9551) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |