| NPI | 1972971901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SOONG Optometrist 626-430-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14716) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14005) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |