Organization
PACIFIC CHILDRENS EYECARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE OTIS PAUL M.D. (OWENER)
(925) 363-8170
Entity
Organization
Contact information
Practice address
1517 NORTH POINT ST., #471, SAN FRANCISCO, CA 94123
(415) 923-3926
(415) 276-3783
Mailing address
5528 PACHECO BLVD, BUILDING A, PACHECO, CA 94553-5126
(925) 363-8170
(925) 363-4995
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A22914
CA
Other
Enumeration date
09/16/2006
Last updated
07/11/2007
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