Organization
20 20 OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AURA VIOLETA GARCIA (OWNER)
(310) 679-1158
Entity
Organization
Contact information
Practice address
14721 PRAIRIE AVE, LAWNDALE, CA 90260-1831
(310) 678-1158
(310) 679-0289
Mailing address
14721 PRAIRIE AVE, LAWNDALE, CA 90260-1831
(310) 679-1158
(310) 679-0289
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
8774
CA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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