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Organization
EYECARE SPECIALISTS MEDICAL GROUP, INC.
Active
Organization
EYECARE SPECIALISTS MEDICAL GROUP, INC.
Active
Other names
Atlantis Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA MARISOL GALINDO (CREDENTIALING SUPERVISOR)
(626) 305-9100
Entity
Organization
Contact information
Practice address
8028 3RD ST, DOWNEY, CA 90241-3602
(562) 622-8700
(562) 622-1800
Mailing address
2571 W. LA PALMA AVE., ANAHEIM, CA 92801
(714) 821-4666
(714) 826-2300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
W14969A
CA
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
W14969A
CA
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14969A
GROUP NUMBER
CA
Enumeration date
07/07/2006
Last updated
11/28/2022
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