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Organization
MELODY TAVAKOLI O.D., PROFESSIONAL CORPORATION
Active
Organization
MELODY TAVAKOLI O.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY TAVAKOLI O.D. (OWNER)
(818) 516-8753
Entity
Organization
Contact information
Practice address
700 E NAPLES CT, CHULA VISTA, CA 91911-6821
(818) 516-8753
Mailing address
PO BOX 3358, SAN DIEGO, CA 92163-1358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14039TLG
CA
Other
Enumeration date
05/28/2015
Last updated
04/27/2022
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