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Organization
NEW VISION OFFICE SURGERY LLC
Active
Organization
NEW VISION OFFICE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GORDON MD (MEDICAL DIRECTOR)
(858) 455-6800
Entity
Organization
Contact information
Practice address
4130 LA JOLLA VILLAGE DR STE 300, LA JOLLA, CA 92037-1481
(858) 455-6800
Mailing address
4130 LA JOLLA VILLAGE DR STE 300, LA JOLLA, CA 92037-1481
(858) 455-6800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
04/11/2023
Last updated
10/13/2023
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