Organization
PEDIATRIC EYE CARE & SURGERY MEDICAL CORPORATION
Active
Other names
PEDIATRIC EYE CARE & SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JENNIFER WHANG MD (PRESIDENT)
(714) 633-0321
Entity
Organization
Contact information
Practice address
302 W LA VETA AVE, SUITE 101, ORANGE, CA 92866-2607
(714) 633-0321
(714) 633-9196
Mailing address
302 W LA VETA AVE, SUITE 101, ORANGE, CA 92866-2607
(714) 633-0321
(714) 633-9196
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C54031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C54031
LICENSE
CA
Enumeration date
05/18/2010
Last updated
07/30/2010
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