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Organization

PREMIUM EYE DIAGNOSTIC CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL F MILKIE JR. (BUSINESS MANAGER)
(310) 638-9391
Entity
Organization

Contact information

Practice address
7957 PAINTER AVE, SUITE 102, WHITTIER, CA 90602-2434
(310) 638-9391
(310) 603-8749
Mailing address
7957 PAINTER AVE, SUITE 102, WHITTIER, CA 90602-2434
(310) 638-9391
(310) 603-8749

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
01/21/2013
Last updated
07/23/2013
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