# CENTURY EYE CARE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTURY EYE CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629274337
- **Authorized official:** CYNTHIA GASCON (FINANCE EXECUTIVE ADMINISTRATOR)
- **Authorized official phone:** (310) 767-7814

## Contact information

- **Practice address:** 4477 W 118TH ST, STE 101, HAWTHORNE, CA 90250-2255
- **Practice address phone:** (310) 644-8877
- **Practice address fax:** (310) 644-8870
- **Mailing address:** 1141 W REDONDO BEACH BLVD STE 101, GARDENA, CA 90247-3585
- **Mailing address phone:** (310) 767-7814
- **Mailing address fax:** (310) 323-3785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G83156 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2007
- **Last updated:** 12/31/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G831561 | — | CA |