| |
12401 Washington Blvd, Suite 100, Whittier, CA 90602-1006 | |
(562) 967-2885 | |
(562) 967-2886 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 12401 Washington Blvd, Whittier, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295131621 | 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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Po Box 1277, Whittier, CA 90609-1277 Ph: (562) 789-5401 | 12401 Washington Blvd, Suite 100, Whittier, CA 90602-1006 Ph: (562) 967-2885 |