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Organization
MAYLIN GONZALEZ OD AN OPTOMETRIC CORPORATION
Active
Organization
MAYLIN GONZALEZ OD AN OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYLIN GONZALEZ O.D. (PRESIDENT/OWNER)
(424) 208-3107
Entity
Organization
Contact information
Practice address
12222 WILSHIRE BLVD, SUITE 105, LOS ANGELES, CA 90025-1173
(424) 208-3107
(424) 208-3065
Mailing address
12222 WILSHIRE BLVD, SUITE 105, LOS ANGELES, CA 90025-1173
(424) 208-3107
(424) 208-3065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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