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Organization

JOHN CELIS, O.D., A PROFESSIONAL CORPORATION

Active
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Organization

JOHN CELIS, O.D., A PROFESSIONAL CORPORATION

Active
Other names
Lake Forest Family Eyecare
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN DEGUZMAN CELIS O.D. (OWNER/PRESIDENT)
(949) 206-1560
Entity
Organization

Contact information

Practice address
23600 ROCKFIELD BLVD, SUITE 3F, LAKE FOREST, CA 92630-1624
(949) 206-1560
(949) 206-1655
Mailing address
23600 ROCKFIELD BLVD, SUITE 3F, LAKE FOREST, CA 92630-1624
(949) 206-1560
(949) 206-1655

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11704T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2462134
—
CA
Enumeration date
10/01/2006
Last updated
01/23/2015
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