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Organization

EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION

Active
Other names
Citrus Valley Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE TURNER (CREDENTIALING MANAGER)
(949) 688-6205
Entity
Organization

Contact information

Practice address
475 W BADILLO ST, COVINA, CA 91723-1834
(626) 732-2200
(626) 732-2900
Mailing address
75 ENTERPRISE STE 200, ALISO VIEJO, CA 92656-2626
(949) 688-6205

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary
207WX0107X
Retina Specialist (Ophthalmology) Physician
207WX0120X
Cornea and External Diseases Specialist Physician

Other

Enumeration date
11/18/2019
Last updated
11/09/2023
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