Organization
COMMERCE CENTER OPTOMETRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SHAUNETTE O.D. (TREASURER)
(323) 728-2708
Entity
Organization
Contact information
Practice address
5520 WHITTIER BLVD, LOS ANGELES, CA 90022-4104
(323) 728-2708
(323) 728-0096
Mailing address
5520 WHITTIER BLVD, LOS ANGELES, CA 90022-4104
(323) 728-2708
(323) 728-0096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
COR 948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD004440
—
CA
Enumeration date
09/26/2005
Last updated
08/22/2020
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