Organization · NPI-2
Advanced Vision Care
Ophthalmology · Los Angeles, CA
NPI number1992992945
StatusActive
Last updated in NPPESSep 11, 2008
Details
- NPI
- 1992992945
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Vision Care
- Organization subpart
- No
- Enumeration date
- Oct 3, 2007
- Last updated
- Sep 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
2080 Century Park EastSuite 911
Los Angeles, CA 90067
Phone 310-229-1220 · Fax 310-229-1222
Mailing address
2080 Century Park EastSuite 911
Los Angeles, CA 90067
Phone 310-229-1220 · Fax 310-229-1222
Authorized official
Samuel Masket
Physician
3102291220
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