Organization
DR.JAIME ESTRADA OPTOMETRIC, A.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY B. HERNANDEZ (CONTACT PERSON)
(323) 560-2786
Entity
Organization
Contact information
Practice address
4511 GAGE AVE, BELL, CA 90201-1308
(323) 560-2786
(323) 560-2796
Mailing address
4511 GAGE AVE, BELL, CA 90201-1308
(323) 560-2786
(323) 560-2796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11129T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0111290
—
CA
Enumeration date
01/24/2008
Last updated
07/22/2010
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