| |
7100 Van Nuys Blvd, Suite 120, Van Nuys, CA 91405-3063 | |
(818) 988-1111 | |
(818) 988-1734 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 7100 Van Nuys Blvd, Van Nuys, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982618849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2446 W Whittier Blvd, Montebello, CA 90640-3041 Ph: (323) 728-5500 | 7100 Van Nuys Blvd, Suite 120, Van Nuys, CA 91405-3063 Ph: (818) 988-1111 |