| |
655 Euclid Ave, 302, National City, CA 91950-5164 | |
(619) 472-1010 | |
(619) 479-5233 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 655 Euclid Ave, National City, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730607433 | NPI | - | NPPES |
1760541569 | Medicaid | CA | |
W20602 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
100 E California Blvd, Pasadena, CA 91105-3205 Ph: (626) 568-8838 | 655 Euclid Ave, 302, National City, CA 91950-5164 Ph: (619) 472-1010 |