Organization
CALIFORNIA CATARACT CENTER & MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BLASE M.D. (OWNER)
(951) 652-6100
Entity
Organization
Contact information
Practice address
2390 E FLORIDA AVE, #207, HEMET, CA 92544-4707
(951) 652-6100
Mailing address
2390 E FLORIDA AVE, #207, HEMET, CA 92544-4707
(951) 652-6100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G50680
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0069960
—
CA
Enumeration date
05/09/2006
Last updated
01/29/2010
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