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Organization
SAND PACIFIC EYE GROUP
Active
Organization
SAND PACIFIC EYE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SAND MD (AGENT OF SERVICE)
(310) 750-3820
Entity
Organization
Contact information
Practice address
1964 WESTWOOD BLVD STE 125, LOS ANGELES, CA 90025-8405
(310) 441-2263
Mailing address
1964 WESTWOOD BLVD STE 125, LOS ANGELES, CA 90025-8405
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
NULL
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
Other
Enumeration date
07/19/2019
Last updated
12/14/2020
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