Organization
ALLIANCE EYE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS BLANCO (ADMINISTRATOR)
(323) 263-6774
Entity
Organization
Contact information
Practice address
1828 E CESAR E CHAVEZ AVE STE 6500, LOS ANGELES, CA 90033-2585
(323) 263-6774
(323) 263-1277
Mailing address
1828 E CESAR E CHAVEZ AVE STE 6500, LOS ANGELES, CA 90033-2585
(323) 263-6774
(323) 263-1277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067530
—
CA
Enumeration date
01/23/2007
Last updated
04/21/2026
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