| |
19038 Norwalk Blvd, Artesia, CA 90701-7032 | |
(562) 653-9500 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 19038 Norwalk Blvd, Artesia, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932580198 | NPI | - | NPPES |
00A621580 | Medicaid | CA | |
00621580 | Medicaid | CA |
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 190, Buena Park, CA 90621-0190 Ph: (714) 228-1888 | 19038 Norwalk Blvd, Artesia, CA 90701-7032 Ph: (562) 653-9500 |