Organization
ALTOS OPTICAL CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY DALEY ABOC (OPTICIAN)
(650) 948-0403
Entity
Organization
Contact information
Practice address
762 ALTOS OAKS DR, SUITE 3, LOS ALTOS, CA 94024-5434
(650) 948-0403
Mailing address
762 ALTOS OAKS DR, SUITE 3, LOS ALTOS, CA 94024-5434
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
141855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9471615
MEDI-CAL
CA
Enumeration date
08/25/2006
Last updated
04/14/2009
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