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Organization
PALANCA OPTOMETRIC CORPORATION
Active
Organization
PALANCA OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL N. PALANCA OD (OPTOMETRIST/PRESIDENT)
(858) 412-0591
Entity
Organization
Contact information
Practice address
8831 VILLA LA JOLLA DR, LA JOLLA, CA 92037-1949
(858) 888-4792
Mailing address
8831 VILLA LA JOLLA DR, LA JOLLA, CA 92037-1949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Enumeration date
08/23/2018
Last updated
10/22/2018
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