Organization
DR. TERRRY KHRAISHI OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ T KHRAISHI OD (OWNER)
(310) 864-9323
Entity
Organization
Contact information
Practice address
317 W PACIFIC COAST HWY STE B, WILMINGTON, CA 90744-2542
(424) 264-5821
(424) 264-5821
Mailing address
317 W PACIFIC COAST HWY STE B, WILMINGTON, CA 90744-2542
(424) 264-5821
(424) 264-5821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
04/10/2020
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