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Eyecare Specialists Medical Group, INC.

Ophthalmology in Huntington Beach, CA. Organization (NPI-2).

NPI number1750488169
StatusActive
Last updated in NPPESNov 28, 2022

Details

NPI
1750488169
Entity type
Organization (NPI-2)
Legal business name
Eyecare Specialists Medical Group, INC.
Organization subpart
No
Enumeration date
Sep 20, 2006
Certification date
Nov 28, 2022
Last updated
Nov 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes
152W00000X OptometristW14969FCA
152W00000X Optometrist––
207W00000X OphthalmologyW14969FCA

Other names

  • Atlantis Eyecare (Doing Business As)

Practice location

7677 Center Ave
Suite 301
Huntington Beach, CA 92647-3074

Phone 714-901-2007 · Fax 714-901-2003

Mailing address

7677 Center Ave.
Suite 301
Huntington Beach, CA 92647-3074

Phone 714-901-2004 · Fax 714-901-2003

Authorized official

Felisa Marisol Galindo
Credentialing Supervisor
6263059100

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