Individual
DR. JAIME ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4511 GAGE AVE, BELL, CA 90201-1308
(323) 560-2786
(323) 560-2795
Mailing address
4511 GAGE AVE, BELL, CA 90201-1308
(323) 560-2786
(323) 560-2795
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11129T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0111290
—
CA
Enumeration date
06/24/2005
Last updated
07/09/2010
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