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Organization
SAN PABLO OPTOMETRIC CENTER, INC.
Active
Organization
SAN PABLO OPTOMETRIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN PABLO ANAYA O.D. (OWNER/OPTOMETRIST)
(510) 232-3060
Entity
Organization
Contact information
Practice address
14240 SAN PABLO AVE, SAN PABLO, CA 94806-3328
(510) 232-3060
(510) 232-0377
Mailing address
14240 SAN PABLO AVE, SAN PABLO, CA 94806-3328
(510) 232-3060
(510) 232-0377
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12274T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0012274
—
CA
Enumeration date
05/27/2008
Last updated
05/27/2008
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