Individual
ALAST EISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30505 AVENIDA DE LAS FLORES STE A, RANCHO SANTA MARGARITA, CA 92688-3939
(949) 459-1157
Mailing address
1019 GATEWAY PL, RANCHO MISSION VIEJO, CA 92694-1839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35232
CA
Other
Enumeration date
08/30/2022
Last updated
07/15/2023
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