# MERCY EYE CARE MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1982926531
- **Authorized official:** DR. SANDEEP KHANNA MD (PRESIDENT)
- **Authorized official phone:** (844) 211-5462

## Contact information

- **Practice address:** 12480 WASHINGTON BLVD, WHITTIER, CA 90602-1005
- **Practice address phone:** (844) 211-5462
- **Practice address fax:** (562) 866-1803
- **Mailing address:** 1700 E CESAR E CHAVEZ AVE STE 3400, LOS ANGELES, CA 90033-2469
- **Mailing address phone:** (844) 211-5462
- **Mailing address fax:** (562) 866-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A48969 | CA | Yes |

## Other

- **Enumeration date:** 02/24/2010
- **Last updated:** 09/09/2020
