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Organization
JOHN LARCABAL OD
Active
Organization
JOHN LARCABAL OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LARCABAL O.D. (OWNER)
(562) 868-8233
Entity
Organization
Contact information
Practice address
12029 FIRESTONE BLVD, NORWALK, CA 90650-2908
(562) 868-8233
(562) 868-8283
Mailing address
12029 FIRESTONE BLVD, NORWALK, CA 90650-2908
(562) 868-8233
(562) 868-8283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9029T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0090290
—
CA
Enumeration date
05/16/2007
Last updated
08/22/2020
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