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Organization
WALNUT CREEK EYE MEDICAL GROUP, INC
Active
Organization
WALNUT CREEK EYE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVON DJENDEREDJIAN MD (PHYSICIAN/OWNER)
(925) 935-8820
Entity
Organization
Contact information
Practice address
1855 SAN MIGUEL DR STE 28, WALNUT CREEK, CA 94596-5298
(925) 935-8820
(925) 935-9542
Mailing address
1855 SAN MIGUEL DR STE 28, WALNUT CREEK, CA 94596-5298
(925) 935-8820
(925) 935-9542
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
09/08/2023
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