| |
100 E California Blvd, Pasadena, CA 91105 | |
(626) 568-8838 | |
(626) 574-7188 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 100 E California Blvd, Pasadena, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194185694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | A69909 (California) | Secondary |
207W00000X | Ophthalmology | A69909 (California) | Primary |
Mailing Address | Practice Location Address |
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288 N Santa Anita Ave Ste 402, Arcadia, CA 91006-3183 Ph: (800) 898-2020 | 100 E California Blvd, Pasadena, CA 91105 Ph: (626) 568-8838 |