| NPI | 1881011567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN SHIBAYAMA Md 310-825-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2024-07-12 |