Individual
EDMUNDO CHARLES FIMBRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
915 HILBY AVE, SUITE 1, SEASIDE, CA 93955-5339
(831) 899-2020
(831) 899-5504
Mailing address
915 HILBY AVE, STE 1, SEASIDE, CA 93955-5339
(831) 899-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6655T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GROOO1660
—
CA
Enumeration date
01/19/2006
Last updated
01/09/2018
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