# SEIJU E. TERADA, O.D., INC.

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

## Provider details

- **NPI number:** 1164858783
- **Authorized official:** DR. SEIJU E TERADA O.D. (PRESIDENT)
- **Authorized official phone:** (714) 965-5130

## Contact information

- **Practice address:** 10130 WARNER AVE STE J, FOUNTAIN VALLEY, CA 92708-1619
- **Practice address phone:** (714) 965-5130
- **Practice address fax:** (714) 965-8265
- **Mailing address:** 10130 WARNER AVE STE J, FOUNTAIN VALLEY, CA 92708-1619
- **Mailing address phone:** (714) 965-5130
- **Mailing address fax:** (714) 965-8265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 7856T | CA | Yes |

## Other

- **Enumeration date:** 09/16/2013
- **Last updated:** 09/16/2013