# EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891026969
- **Authorized official:** IRENE SASAKI MD (PRESIDENT)
- **Authorized official phone:** (562) 436-4558

## Contact information

- **Practice address:** 1150 E 4TH ST, LONG BEACH SENIOR CENTER, LONG BEACH, CA 90802-1735
- **Practice address phone:** (562) 570-3500
- **Mailing address:** 1045 ATLANTIC AVE STE 1007, LONG BEACH, CA 90813-3413
- **Mailing address phone:** (562) 436-4558
- **Mailing address fax:** (562) 437-0079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G72572 | CA | Yes |

## Other

- **Enumeration date:** 01/28/2010
- **Last updated:** 03/02/2010
