| NPI | 1962452714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-558-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-02-02 |