# SAN DIEGO LASIK INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326221003
- **Authorized official:** DR. TONY H PHAM M.D. (PRESIDENT)
- **Authorized official phone:** (619) 298-2733

## Contact information

- **Practice address:** 2020 CAMINO DEL RIO N STE 808, SAN DIEGO, CA 92108-1546
- **Practice address phone:** (619) 298-2733
- **Mailing address:** 2020 CAMINO DEL RIO N, SUITE 808, SAN DIEGO, CA 92108-1541
- **Mailing address phone:** (619) 298-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A80739 | CA | Yes |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 12/17/2007
