# CROWN CITY EYE CENTER MEDICAL GROUP

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

## Provider details

- **NPI number:** 1396840633
- **Authorized official:** GEORGE G ULRICH MD (OWNER)
- **Authorized official phone:** (619) 435-3955

## Contact information

- **Practice address:** 1317 YNEZ PL, SUITE A, CORONADO, CA 92118-3912
- **Practice address phone:** (619) 435-3955
- **Practice address fax:** (619) 435-9197
- **Mailing address:** 1317 YNEZ PL, SUITE A, CORONADO, CA 92118-3912
- **Mailing address phone:** (619) 435-3955
- **Mailing address fax:** (619) 435-9197

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2020