John Larcabal Od
Optometrist in Norwalk, CA. Organization (NPI-2).
NPI number1982811600
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982811600
- Entity type
- Organization (NPI-2)
- Legal business name
- John Larcabal Od
- Organization subpart
- No
- Enumeration date
- May 16, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 9029T | CA | Yes |
Practice location
12029 Firestone BlvdNorwalk, CA 90650-2908
Phone 562-868-8233 · Fax 562-868-8283
Mailing address
12029 Firestone BlvdNorwalk, CA 90650-2908
Phone 562-868-8233 · Fax 562-868-8283
Authorized official
John Larcabal
Owner
5628688233
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