| NPI | 1982871174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMUNDO G MENDOZA Owner 619-475-2184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: OPT 8150T) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2013-01-07 |