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Organization
SAN PEDRO EYE MEDICAL GROUP, INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SAN PEDRO EYE MEDICAL GROUP, INC A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
San Pedro Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE DAVID CALKINS O.D. (OWNER/PARTNER)
(310) 833-1327
Entity
Organization
Contact information
Practice address
571 W 7TH ST, SAN PEDRO, CA 90731-3115
(310) 833-1327
(310) 833-0698
Mailing address
571 W 7TH ST, SAN PEDRO, CA 90731-3115
(310) 833-1327
(310) 833-0698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4919
CA
152W00000X
Optometrist
Primary
7967
CA
174400000X
Specialist
G14368
CA
Other
Enumeration date
07/02/2006
Last updated
12/14/2018
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