Individual
DR. CECILIA KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
951 PALOMAR AIRPORT RD, CARLSBAD, CA 92011-1110
(760) 603-9558
(760) 603-9533
Mailing address
325 BONAIR ST, LA JOLLA, CA 92037-5975
(760) 603-9558
(760) 603-9533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8756
CA
Other
Enumeration date
12/16/2006
Last updated
07/08/2007
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