| |
3655 Lomita Blvd Ste 410, Torrance, CA 90505-1929 | |
(310) 803-9633 | |
(310) 803-9634 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3655 Lomita Blvd Ste 410, Torrance, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790173508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 68583 (California) | Secondary |
207W00000X | Ophthalmology | 68583 (California) | Primary |
Mailing Address | Practice Location Address |
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888 S Disneyland Dr, Suite 100, Anaheim, CA 92802-1847 Ph: (714) 399-0678 | 3655 Lomita Blvd Ste 410, Torrance, CA 90505-1929 Ph: (310) 803-9633 |