| NPI | 1912220450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY TUNG LE NGUYEN O PT Ometrist 949-545-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12845T) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |