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Organization
INLAND EYE SPECIALISTS A MEDICAL CORP
Active
Organization
INLAND EYE SPECIALISTS A MEDICAL CORP
Active
Other names
Inland Eye Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NEAL (ASSISTANT SECRETARY)
(469) 214-0144
Entity
Organization
Contact information
Practice address
25395 HANCOCK AVE, SUITE 100, MURRIETA, CA 92562-9054
(951) 696-5388
(951) 266-5302
Mailing address
PO BOX 845426, LOS ANGELES, CA 90084-5426
(951) 696-5388
(951) 266-5302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0044192
—
CA
05
—
GSD003101
—
CA
Enumeration date
07/11/2006
Last updated
02/05/2020
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