Organization · NPI-2

20 20 Optical

Exclusive Provider Organization · Lawndale, CA

NPI number1376783860
StatusActive
Last updated in NPPESFeb 24, 2009

Details

NPI
1376783860
Entity type
Organization (NPI-2)
Legal business name
20 20 Optical
Organization subpart
No
Enumeration date
Feb 24, 2009
Last updated
Feb 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302F00000X Exclusive Provider Organization8774CAYes

Practice location

14721 Prairie Ave
Lawndale, CA 90260-1831

Phone 310-678-1158 · Fax 310-679-0289

Mailing address

14721 Prairie Ave
Lawndale, CA 90260-1831

Phone 310-679-1158 · Fax 310-679-0289

Authorized official

Aura Violeta Garcia
Owner
3106791158

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