Individual
DR. ALEXANDRA LYNN SCOVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
CASTILLEJOS EYE INSTITUTE MEDICAL GROUP, 342 F STREET, CHULA VISTA, CA 91910
(619) 422-1471
(619) 422-0114
Mailing address
CASTILLEJOS EYE INSTITUTE MEDICAL GROUP, 342 F STREET, CHULA VISTA, CA 91910-2625
(619) 422-1471
(619) 422-0114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT33711-TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT33711-TLG
OPTOMETRY LICENSE
CA
Enumeration date
07/12/2017
Last updated
12/07/2018
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