| NPI | 1912597915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH CHO Manager 949-208-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
| 152W00000X Optometrist | |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |