Organization
CALIFORNIA CENTER FOR REFRACTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C LEE (PRESIDENT/CEO)
(323) 933-3111
Entity
Organization
Contact information
Practice address
4160 WILSHIRE BLVD, 2ND FLOOR, LOS ANGELES, CA 90010-3567
(323) 933-3111
(323) 933-3393
Mailing address
4160 WILSHIRE BLVD, 2ND FLOOR, LOS ANGELES, CA 90010-3567
(323) 933-3111
(323) 933-3393
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G77461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W15209
—
CA
Enumeration date
04/25/2014
Last updated
04/25/2014
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