Organization
GLAUCOMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHSAN SADRI M.D. (CEO/ MD)
(949) 307-0582
Entity
Organization
Contact information
Practice address
26730 TOWNE CENTRE DR STE 204, FOOTHILL RANCH, CA 92610-2842
(949) 307-0582
Mailing address
PO BOX 1534, NEWPORT BEACH, CA 92659-0534
(949) 307-0582
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
A87053
CA
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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