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Organization
SAN DIEGO EYE BANK
Active
Organization
SAN DIEGO EYE BANK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY G PENTA (EXECUTIVE DIRECTOR)
(858) 694-0444
Entity
Organization
Contact information
Practice address
9444 BALBOA AVE, SUITE 100, SAN DIEGO, CA 92123-4447
(858) 694-0444
(858) 565-7368
Mailing address
9444 BALBOA AVE, SUITE 100, SAN DIEGO, CA 92123-4447
(858) 694-0444
(858) 565-7368
Taxonomy
Speciality
Code
Description
License number
State
332G00000X
Eye Bank
Primary
CNC80040
CA
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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