Organization
EDUARDO P MACIAS, MD, INC.
Active
Other names
Macias Eye Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO P MACIAS MD (PRESIDENT)
(909) 933-0622
Entity
Organization
Contact information
Practice address
18066 FOOTHILL BLVD, FONTANA, CA 92335-8503
(909) 427-8900
(909) 427-8903
Mailing address
18066 FOOTHILL BLVD, FONTANA, CA 92335-8503
(909) 933-0622
(909) 427-8903
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A86739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A86739
PRESIDENTS STATE LIC#
CA
Enumeration date
03/30/2007
Last updated
01/17/2018
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