Organization
MERCY EYE CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP K KHANNA M.D. (PRESIDENT)
(323) 526-7235
Entity
Organization
Contact information
Practice address
1717 W BEVERLY BLVD STE A, MONTEBELLO, CA 90640-3971
(323) 724-1075
(323) 724-1198
Mailing address
1700 E CESAR E CHAVEZ AVE STE 3400, LOS ANGELES, CA 90033-2469
(323) 526-7273
(323) 526-7235
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A48969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A489692
—
CA
Enumeration date
11/20/2006
Last updated
01/24/2012
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