| NPI | 1982775672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E CASTILLEJOS General Partner 619-422-1471 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A37652) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-07-27 |