| NPI | 1861048506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHIEM NGUYEN-TRONG Operations Manager 818-793-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-10-05 |