Organization
FARO OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI A MOHEBBI OD (OWNER)
(323) 988-1033
Entity
Organization
Contact information
Practice address
4433 S ALAMEDA ST, SUITE C12, LOS ANGELES, CA 90058-2008
(323) 988-1033
(888) 260-4874
Mailing address
4433 S ALAMEDA ST, SUITE C12, LOS ANGELES, CA 90058-2008
(323) 988-1033
(888) 260-4874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11257 TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD011257CA
—
CA
Enumeration date
01/05/2016
Last updated
01/05/2016
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