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Organization
SAN DIEGO EYELID SPECIALISTS, INC.
Active
Organization
SAN DIEGO EYELID SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS IYENGAR M.D. (MANAGING PARTNER)
(760) 456-9462
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL, A304, ENCINITAS, CA 92024-1328
(858) 432-2700
Mailing address
477 N EL CAMINO REAL, A304, ENCINITAS, CA 92024-1328
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A105824
CA
Other
Enumeration date
01/26/2016
Last updated
09/23/2016
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