Organization
DR DORYS P VARGAS OPTOMETRIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORYS P VARGAS O.D. (OWNER/ OPTOMETRIST)
(562) 481-2555
Entity
Organization
Contact information
Practice address
1800 N PERRIS BLVD, PERRIS, CA 92571
(951) 940-0463
(951) 443-1263
Mailing address
13389 BASHKIR ST, EASTVALE, CA 92880-3945
(562) 481-2555
(951) 443-1263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13515T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962665034
—
CA
Enumeration date
05/28/2012
Last updated
06/15/2018
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