Organization
DORIS BOUDAIE OPTOMETRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS BOUDAIE (OPTOMETRIST)
(310) 770-9645
Entity
Organization
Contact information
Practice address
8500 BEVERLY BLVD, LOS ANGELES, CA 90048-6201
(310) 360-3937
Mailing address
260 S BEVERLY DR STE 333, BEVERLY HILLS, CA 90212-3810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
10/31/2016
Last updated
11/01/2016
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