| NPI | 1891250734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI LEE ALLEY Director Of Credentialing 951-249-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |