| NPI | 1912058728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA I TANNENBAUM Managing Partner 818-762-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-03-15 |