Organization
DEL AMO OPTOMETRY A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE IRENE QUICK O.D. (OWNER)
(310) 370-5683
Entity
Organization
Contact information
Practice address
4505 SEPULVEDA BLVD, TORRANCE, CA 90505-2207
(310) 792-2020
(310) 792-2021
Mailing address
4505 SEPULVEDA BLVD, TORRANCE, CA 90505-2207
(310) 370-5683
(310) 370-2629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8987T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001810
—
CA
Enumeration date
10/19/2006
Last updated
04/28/2009
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