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Organization

SAN DIEGO EYE BANK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY G PENTA (EXECUTIVE DIRECTOR)
(858) 694-0444
Entity
Organization

Contact information

Practice address
9444 BALBOA AVE, SUITE 100, SAN DIEGO, CA 92123-4447
(858) 694-0444
(858) 565-7368
Mailing address
9444 BALBOA AVE, SUITE 100, SAN DIEGO, CA 92123-4447
(858) 694-0444
(858) 565-7368

Taxonomy

Speciality
Code
Description
License number
State
332G00000X
Eye Bank
Primary
CNC80040
CA

Other

Enumeration date
02/28/2007
Last updated
08/22/2020
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