Individual provider · NPI-1

Patricia Ann Elbeck, RDO, RSLD,RCLD

Technician/Technologist, Optician · Mission Viejo, CA

NPI number1760809099
StatusActive
Last updated in NPPESMar 25, 2014

Details

NPI
1760809099
Entity type
Individual (NPI-1)
Name
Patricia Ann Elbeck
Credential
RDO, RSLD,RCLD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2014
Last updated
Mar 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianSL40066CAYes

Other names

  • Patrisha Ann Elbeck (Professional Name)

Practice location

26012 Marguerite Pkwy
Suite C
Mission Viejo, CA 92692-3263

Phone 949-582-3064 · Fax 949-582-3064

Mailing address

26012 Marguerite Pkwy
Suite C
Mission Viejo, CA 92692-3263

Phone 949-582-3064 · Fax 949-582-3064

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