Individual
WALTER CABRERA OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3644 E IMPERIAL HWY, LYNWOOD, CA 90262-2653
(323) 388-7260
(310) 438-1916
Mailing address
3644 E IMPERIAL HWY, LYNWOOD, CA 90262-2653
(323) 388-7260
(310) 438-1916
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
41668
CA
Other
Enumeration date
11/06/2019
Last updated
12/08/2023
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