| NPI | 1982618849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT DE LA PENA President/ Medical Director 818-988-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-02-25 |