Organization
SOUTH COAST EYE CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW HENRICK M.D. (PRESIDENT/OWNER)
(949) 588-2020
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 302, LAGUNA HILLS, CA 92653-3616
(949) 588-2020
(949) 588-0336
Mailing address
23961 CALLE DE LA MAGDALENA, SUITE 302, LAGUNA HILLS, CA 92653-3616
(949) 588-2020
(949) 588-0336
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
EAA994358090001EA
CA
Other
Enumeration date
03/14/2006
Last updated
04/16/2008
Update your record
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