Individual
BRENDA J SWIDERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6945 EL CAJON BLVD, SAN DIEGO, CA 92115-1754
(619) 697-4600
(619) 464-5526
Mailing address
8080 PARKWAY DR, LA MESA, CA 91942-2104
(619) 589-7500
(619) 589-7500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT12109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052930
—
CA
Enumeration date
10/27/2005
Last updated
12/23/2021
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