Individual
EVELYN DEL REAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12100 WILSHIRE BLVD STE 1275, LOS ANGELES, CA 90025-7143
(800) 485-9196
Mailing address
2726 SOMERSET PARK CIR, SAN JOSE, CA 95132-2277
(408) 644-3626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT35149-TLG
CA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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