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Organization
NEW VISTA EYE CARE MEDICAL GROUP
Active
Organization
NEW VISTA EYE CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LOWELL DAVIDIAN M.D. (PRESIDENT)
(951) 734-8600
Entity
Organization
Contact information
Practice address
1820 FULLERTON AVE STE 310, CORONA, CA 92881-3175
(951) 734-8600
Mailing address
1820 FULLERTON AVE STE 310, CORONA, CA 92881-3175
(951) 734-8600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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