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Organization
LARRY J GOTTLIEB INC. A PROFESSIONAL CORPORATION
Active
Organization
LARRY J GOTTLIEB INC. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY JAY GOTTLIEB OD (PRESIDENT)
(562) 420-2055
Entity
Organization
Contact information
Practice address
322 LAKEWOOD CENTER MALL, LAKEWOOD, CA 90712-2204
(562) 630-2020
(562) 633-7220
Mailing address
322 LAKEWOOD CENTER MALL, LAKEWOOD, CA 90712-2409
(562) 630-2020
(562) 633-7220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13929T
CA
152W00000X
Optometrist
Primary
6451T
CA
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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