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Dr. Michael H Fanarof, O.D.

Optometrist in Seal Beach, CA. Individual provider (NPI-1).

NPI number1487872008
StatusActive
Last updated in NPPESJan 4, 2012

Details

NPI
1487872008
Entity type
Individual (NPI-1)
Name
Dr. Michael H Fanarof
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 20, 2007
Last updated
Jan 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist5385TCAYes

Practice location

1037 Pacific Coast Hwy
Seal Beach, CA 90740-6214

Phone 562-594-0929 · Fax 562-594-9335

Mailing address

1037 Pacific Coast Hwy
Seal Beach, CA 90740-6214

Phone 562-594-0929 · Fax 562-594-9335

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