Organization
EYE CARE ASSOCIATES OF SAN DIEGO MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY LOCK (EXECUTIVE DIRECTOR)
(858) 274-6828
Entity
Organization
Contact information
Practice address
4455 MORENA BLVD, SUITE 203, SAN DIEGO, CA 92117-4358
(858) 274-6828
(858) 274-6861
Mailing address
4455 MORENA BLVD., SUITE 203, SAN DIEGO, CA 92117-4358
(858) 274-6828
(858) 274-6861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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