# HOLLYWOOD EYE ASSOCIATES A PROFESSIONAL CORPORATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luxor Eye Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205609401
- **Authorized official:** DR. AMR KOUCHOUK MD (OWNER)
- **Authorized official phone:** (661) 460-7640

## Contact information

- **Practice address:** 3801 SAN DIMAS ST STE A, BAKERSFIELD, CA 93301-1499
- **Practice address phone:** (661) 460-7640
- **Mailing address:** 3801 SAN DIMAS ST STE A, BAKERSFIELD, CA 93301-1499
- **Mailing address phone:** (661) 460-7640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 02/21/2024