| NPI | 1861870925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LAM O PT Ometrist 805-530-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 15054TLG) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2016-07-18 |