| |
25460 Medical Center Dr, Suite 103, Murrieta, CA 92562-5985 | |
(951) 698-4575 | |
(951) 266-5302 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 25460 Medical Center Dr, Murrieta, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649540303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 845426, Los Angeles, CA 90084-5426 Ph: (951) 698-4575 | 25460 Medical Center Dr, Suite 103, Murrieta, CA 92562-5985 Ph: (951) 698-4575 |