Organization
EYE CARE FOR DIABETICS MEDICAL GROUP, INC
Active
Other names
Eye Care for Diabetics Medical Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY W VAUGHN MD (OPHTHALMOLOGIST)
(310) 671-0909
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE, 217, INGLEWOOD, CA 90301-4502
(310) 671-0909
(310) 412-0066
Mailing address
323 N PRAIRIE AVE, 217, INGLEWOOD, CA 90301-4502
(310) 671-0909
(310) 412-0066
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00305761
—
CA
Enumeration date
07/16/2007
Last updated
06/04/2021
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