Organization
ITALEE OPTOMETRIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SONG (EXECUTIVE VICE PRESIDENT)
(213) 736-0205
Entity
Organization
Contact information
Practice address
978 S VERMONT AVE, LOS ANGELES, CA 90006-1611
(213) 385-1656
(213) 385-8700
Mailing address
978 S VERMONT AVE, LOS ANGELES, CA 90006-1611
(213) 385-1656
(213) 385-8700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPT9019TPA
CA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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