Individual
DAVID BABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3178 COLLINS DR STE A, MERCED, CA 95348-3155
(209) 383-1246
(209) 383-0258
Mailing address
3178 COLLINS DR STE A, MERCED, CA 95348-3155
(209) 383-1246
(209) 383-0258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7718T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0077180
—
CA
Enumeration date
04/11/2006
Last updated
09/03/2014
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