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Organization
ROBERT B PENDLETON MD PHD INC
Active
Organization
ROBERT B PENDLETON MD PHD INC
Active
Other names
Pendleton Eye Center A Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRIAN PENDLETON MD PHD (MEDICAL DIRECTOR)
(760) 758-2008
Entity
Organization
Contact information
Practice address
3637 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 758-2008
(760) 758-2004
Mailing address
3637 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 758-2008
(760) 758-2004
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83487
CA
261Q00000X
Clinic/Center
G83487
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
06/13/2007
Last updated
01/06/2010
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