Alvarado Eye Associates Med Clinic INC
Clinic/Center, Multi-Specialty in La Mesa, CA. Organization (NPI-2).
NPI number1619973591
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1619973591
- Entity type
- Organization (NPI-2)
- Legal business name
- Alvarado Eye Associates Med Clinic INC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2005
- Certification date
- Aug 21, 2023
- Last updated
- Aug 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 152W00000X | Optometrist | – | – | |
| 207W00000X | Ophthalmology | – | – |
Other names
- Alvarado Eye Associates Medical Clinic INC (Former Legal Business Name)
Practice location
7877 Parkway Dr.Suite# 100
La Mesa, CA 91942-2000
Phone 619-460-3711 · Fax 619-460-2184
Mailing address
75 Enterprise Ste 200Aliso Viejo, CA 92656-2626
Phone 949-688-6205 · Fax 619-460-2184
Other practice locations
801 Orange Ave Ste 204
Coronado, CA 92118-2663
Coronado, CA 92118-2663
Phone 619-460-3711 · Fax 619-522-7983
Authorized official
Glen Cook
Owner
6194603711
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