Makkasen Em, OD
Optometrist in Montebello, CA. Individual provider (NPI-1).
NPI number1205988656
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1205988656
- Entity type
- Individual (NPI-1)
- Name
- Makkasen Em
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT12446T | CA | Yes |
Practice location
2449 W Beverly BlvdMontebello, CA 90640-2305
Phone 323-728-7149
Mailing address
2449 W Beverly BlvdMontebello, CA 90640-2305
Phone 323-728-7149
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All 36 Optometrist providers in Montebello · All 1,139 providers in Montebello
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