Individual provider · NPI-1
Laila Brown-Aijala, OD
Optometrist · Indio, CA
NPI number1447873070
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1447873070
- Entity type
- Individual (NPI-1)
- Name
- Laila Brown-Aijala
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2020
- Certification date
- Mar 8, 2021
- Last updated
- May 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 34808 | CA | Yes |
| 152W00000X | Optometrist | OPT.0003585 | CO | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
82227 Us Highway 111Indio, CA 92201-5667
Phone 760-347-6636
Mailing address
1700 S Araby Dr Apt 92Palm Springs, CA 92264-6857
Phone 319-321-9898
Other practice locations
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Gallup, NM 87301-5748
Phone 505-722-1000
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