Organization
ELSA PAO OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA PAO OD (OWNER)
(510) 238-9797
Entity
Organization
Contact information
Practice address
901 FRANKLIN ST STE 68, OAKLAND, CA 94607-4476
(510) 238-9797
Mailing address
901 FRANKLIN ST STE 68, OAKLAND, CA 94607-4476
(510) 238-9797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
04/11/2011
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