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Organization
SIEMS ADVANCED LASIK AND EYE CENTERS
Active
Organization
SIEMS ADVANCED LASIK AND EYE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKIE ELPUSAN (OPHTHALMIC TECHNICIAN)
(949) 718-2010
Entity
Organization
Contact information
Practice address
2121 E COAST HWY, STE 200, CORONA DEL MAR, CA 92625-1931
(949) 718-2010
(949) 718-2011
Mailing address
2121 E COAST HWY, STE 200, CORONA DEL MAR, CA 92625-1931
(949) 718-2010
(949) 718-2011
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
8933T
CA
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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