| |
1520 N Grand Ave, Santa Ana, CA 92701-2627 | |
(714) 558-1385 | |
(714) 558-7269 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1520 N Grand Ave, Santa Ana, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831536481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
401 Commerce St Ste 600, Nashville, TN 37219-2518 Ph: (615) 345-6900 | 1520 N Grand Ave, Santa Ana, CA 92701-2627 Ph: (714) 558-1385 |