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Organization
PARK AVENUE OPTOMETRY INC
Active
Organization
PARK AVENUE OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH GARCIA ALANIS O.D. (PRESIDENT)
(909) 622-3531
Entity
Organization
Contact information
Practice address
648 N PARK AVE, POMONA, CA 91768-3621
(909) 622-3531
(909) 622-4897
Mailing address
648 N PARK AVE, POMONA, CA 91768-3621
(909) 622-3531
(909) 622-4897
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 12788
CA
Other
Enumeration date
10/21/2008
Last updated
04/16/2010
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