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Organization
LARRY J GOTTLIEB INC A PROFESSIONAL CORPORATION
Active
Organization
LARRY J GOTTLIEB INC A PROFESSIONAL CORPORATION
Active
Other names
Dr Larry J Gottlieb OD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY JAY GOTTLIEB OD (PRESIDENT)
(714) 488-5472
Entity
Organization
Contact information
Practice address
6418 DEL AMO BLVD, LAKEWOOD, CA 90713-2204
(562) 420-2055
(562) 420-1784
Mailing address
6418 DEL AMO BLVD, LAKEWOOD, CA 90713-2204
(562) 420-2055
(562) 420-1784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6451T
CA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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