Organization
SAN DIEGO LASIK INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY H PHAM M.D. (PRESIDENT)
(619) 298-2733
Entity
Organization
Contact information
Practice address
2020 CAMINO DEL RIO N STE 808, SAN DIEGO, CA 92108-1546
(619) 298-2733
Mailing address
2020 CAMINO DEL RIO N, SUITE 808, SAN DIEGO, CA 92108-1541
(619) 298-2733
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A80739
CA
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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