Individual
BRUCE T HAIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., INC
Contact information
Practice address
5565 GROSSMONT CENTER DR STE 551, LA MESA, CA 91942-3078
(619) 465-2020
(619) 698-1189
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(800) 898-2020
(626) 577-2100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G41117
CA
207W00000X
Ophthalmology Physician
Primary
G41117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G411170
—
CA
Enumeration date
01/27/2006
Last updated
07/11/2019
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