| |
9834 Genesee Ave Ste 428, La Jolla, CA 92037-1264 | |
(858) 457-3010 | |
(858) 457-0028 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 9834 Genesee Ave Ste 428, La Jolla, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003449604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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100 E California Blvd, Pasadena, CA 91105-3205 Ph: (800) 898-2020 | 9834 Genesee Ave Ste 428, La Jolla, CA 92037-1264 Ph: (858) 457-3010 |