Organization
481 ASC PROJECT LLC
Active
Other names
Eye MD Laser & Surgery Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD H. LEE M.D. (MEDICAL DIRECTOR)
(510) 835-4521
Entity
Organization
Contact information
Practice address
481 30TH ST, OAKLAND, CA 94609-3209
(510) 835-4521
(510) 835-4223
Mailing address
481 30TH ST, OAKLAND, CA 94609-3209
(510) 835-4521
(510) 835-4223
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
140000588
CA
Other
Enumeration date
01/16/2007
Last updated
07/09/2013
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