| NPI | 1942523139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HUAN PHAN Sole Proprietor 408-296-0103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA g77619) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |