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 |