Organization
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.
Active
Other names
DLP Eye Group
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ARD (PRESIDENT, BOARD OF MANAGERS)
(615) 717-7135
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE STE 306, LONG BEACH, CA 90804-2182
(323) 728-5500
Mailing address
ATTN LICENSING, 401 COMMERCE STREET, SUITE 600, NASHVILLE, TN 37219-2518
(615) 760-6593
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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