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Organization
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.
Active
Organization
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.
Active
Other names
DLP Eye Group
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (PRESIDENT, BOARD OF MANAGERS)
(615) 345-6900
Entity
Organization
Contact information
Practice address
2715 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5746
(323) 585-3504
(323) 581-3957
Mailing address
401 COMMERCE ST STE 600, NASHVILLE, TN 37219-2518
(615) 345-6900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
07/15/2024
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