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Individual

THEODORE AUGUST PASQUALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 E SOUTH ST, SUITE 105, LAKEWOOD, CA 90805-4549
(562) 531-2020
Mailing address
3300 E SOUTH ST, SUITE 105, LAKEWOOD, CA 90805-4549
(562) 531-2020

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A126375
CA
207W00000X
Ophthalmology Physician
Primary
A 126375
CA

Other

Enumeration date
06/16/2008
Last updated
01/26/2017
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