Organization
M ALEXANDER BONAKDAR OD INC
Active
Other names
Eyecare center of OC
Organization subpart
No
Provider details
NPI number
Authorized official
M ALEXANDER BONAKDAR OD (PRESIDENT)
(714) 558-1182
Entity
Organization
Contact information
Practice address
801 N TUSTIN AVE, STE 404, SANTA ANA, CA 92705-3612
(714) 558-1182
Mailing address
801 N TUSTIN AVE, STE 404, SANTA ANA, CA 92705-3612
(714) 558-1182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP9763T
CA
207W00000X
Ophthalmology Physician
Primary
OP9763
CA
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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