| NPI | 1871678557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KING YUE WONG Director Owner 310-471-9618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA OPT12461TPA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT12461TPA) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA OPT12461TPA) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-09-11 |