Organization
UNIVERSAL VISION MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARNOOSH TINOOSH MD (OWNER)
(310) 407-5440
Entity
Organization
Contact information
Practice address
1503 S COAST DR STE 120, COSTA MESA, CA 92626-1526
(310) 407-5440
(310) 407-5441
Mailing address
1503 S COAST DR STE 120, COSTA MESA, CA 92626-1526
(310) 407-5440
(310) 407-5441
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A69006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A69006
CALIFORNIA LICENCE
CA
Enumeration date
04/15/2008
Last updated
04/15/2008
Update your record
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