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Organization
PAUL BLAZE OD
Active
Organization
PAUL BLAZE OD
Active
Other names
COAST OPTOMETRIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A BLAZE O.D. (OWNER)
(714) 292-7636
Entity
Organization
Contact information
Practice address
5092 WARNER AVE, HUNTINGTON BEACH, CA 92649-4030
(714) 846-2897
(714) 846-5778
Mailing address
5092 WARNER AVE, HUNTINGTON BEACH, CA 92649-4030
(714) 846-2897
(714) 846-5778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/01/2012
Last updated
10/28/2016
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