Organization
EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION
Active
Other names
San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TURNER (CREDENTIALING MANAGER)
(949) 688-6205
Entity
Organization
Contact information
Practice address
571 W 7TH ST, SAN PEDRO, CA 90731-3115
(310) 833-1627
(310) 833-0698
Mailing address
75 ENTERPRISE STE 200, ALISO VIEJO, CA 92656-2626
(949) 688-6205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/18/2019
Last updated
11/09/2023
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