# EYECARE SPECIALISTS MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATLANTIS EYECARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407328420
- **Authorized official:** FELISA MARISOL GALINDO (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (626) 305-9100

## Contact information

- **Practice address:** 229 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
- **Practice address phone:** (323) 728-7998
- **Practice address fax:** (323) 728-5041
- **Mailing address:** 1595 E 17TH ST, SANTA ANA, CA 92705-8506
- **Mailing address phone:** (714) 399-0678
- **Mailing address fax:** (714) 276-6489

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2019
- **Last updated:** 11/28/2022