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Organization
EYE CARE ASSOCIATES OF SAN DIEGO MEDICAL GROUP, INC.
Active
Organization
EYE CARE ASSOCIATES OF SAN DIEGO MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY LOCK (EXECUTIVE DIRECTOR)
(858) 274-6828
Entity
Organization
Contact information
Practice address
4455 MORENA BLVD, SUITE 203, SAN DIEGO, CA 92117-4358
(858) 274-6828
(858) 274-6861
Mailing address
4455 MORENA BLVD., SUITE 203, SAN DIEGO, CA 92117-4358
(858) 274-6828
(858) 274-6861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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