Organization
EDMUNDO C. FIMBRES, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUNDO CHARLES FIMBRES O.D. (OWNER)
(831) 899-2020
Entity
Organization
Contact information
Practice address
915 HILBY AVE, SUITE 1, SEASIDE, CA 93955-5339
(831) 899-2020
Mailing address
915 HILBY AVE, SUITE 1, SEASIDE, CA 93955-5339
(831) 899-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6655T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0001660
—
CA
Enumeration date
08/18/2008
Last updated
08/18/2008
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