Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 6724 | CA |
NPI | 1093980716 |
---|---|
Provider Name | Mr. Raymund Urbi |
First Address | Union City, CA 94587-4034 |
Second Address | Union City, CA 94587-4034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 23/04/2008 |