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Organization
LA MIRADA OPTOMETRY
Active
Organization
LA MIRADA OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBBIE CHEN-BENNETT OD (OPTOMETRIST)
(714) 625-6433
Entity
Organization
Contact information
Practice address
12819 VALLEY VIEW AVE, LA MIRADA, CA 90638-1945
(562) 921-6659
(562) 921-6659
Mailing address
10562 RITTER ST, CYPRESS, CA 90630-4944
(714) 625-6433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800341287
—
CA
Enumeration date
05/27/2020
Last updated
05/27/2020
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