Organization
KOLBERG OCULAR PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON I KOLBERG B.C.O. (PRESIDENT)
(858) 695-2021
Entity
Organization
Contact information
Practice address
9663 TIERRA GRANDE ST, SUITE 201, SAN DIEGO, CA 92126-4568
(858) 695-2021
(858) 695-2712
Mailing address
9663 TIERRA GRANDE ST, SUITE 201, SAN DIEGO, CA 92126-4568
(858) 695-2021
(858) 695-2712
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ33192Z
—
CA
Enumeration date
06/16/2006
Last updated
08/22/2020
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