# UNIVERSAL VISION MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124292628
- **Authorized official:** FARNOOSH TINOOSH MD (OWNER)
- **Authorized official phone:** (310) 407-5440

## Contact information

- **Practice address:** 1503 S COAST DR STE 120, COSTA MESA, CA 92626-1526
- **Practice address phone:** (310) 407-5440
- **Practice address fax:** (310) 407-5441
- **Mailing address:** 1503 S COAST DR STE 120, COSTA MESA, CA 92626-1526
- **Mailing address phone:** (310) 407-5440
- **Mailing address fax:** (310) 407-5441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A69006 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008