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30593 Gateway Place, Rancho Mission Viejo, CA 92694 | |
(949) 209-2980 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 30593 Gateway Place, Rancho Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780176420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 11599T (California) | Primary |
Provider Name | Michelle Paulette Ahumada |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750506549 PECOS PAC ID: 1052652237 Enrollment ID: I20190417000071 |
Mailing Address | Practice Location Address |
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30593 Gateway Place, Rancho Mission Viejo, CA 92675 Ph: (949) 209-2980 | 30593 Gateway Place, Rancho Mission Viejo, CA 92694 Ph: (949) 209-2980 |
Dr. Michelle Ahumada, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 30593 Gateway Place, Rancho Mission Viejo, CA 92694 Phone: 949-209-2980 |