Individual
DR. BECKY FARTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
734 N MAIN ST, CORONA, CA 92880
(951) 737-2020
(951) 737-2072
Mailing address
734 N MAIN ST, CORONA, CA 92880
(951) 737-2020
(951) 737-2072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7415T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0074150
—
CA
Enumeration date
12/06/2006
Last updated
02/21/2008
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