# SALL EYE RESEARCH MEDICAL CENTER

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

## Provider details

- **NPI number:** 1932216157
- **Authorized official:** DR. KENNETH N SALL M.D. (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (562) 804-1974

## Contact information

- **Practice address:** 11423 187TH STREET, SUITE 200, ARTESIA, CA 90701-5657
- **Practice address phone:** (562) 804-1974
- **Practice address fax:** (562) 804-4350
- **Mailing address:** 11423 187TH STREET, SUITE 200, ARTESIA, CA 90701-5657
- **Mailing address phone:** (562) 804-1974
- **Mailing address fax:** (562) 804-4350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/18/2011