| NPI | 1922549948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE VELA Contracts Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2022-12-28 |