Organization
DARIN EYE CENTER A MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CHUNG (ADMINISTRATOR)
(818) 275-0009
Entity
Organization
Contact information
Practice address
696 HAMPSHIRE RD STE 120, WESTLAKE VILLAGE, CA 91361-4457
(818) 787-2020
(818) 787-8652
Mailing address
696 HAMPSHIRE ROAD SUITE 120, WESTLAKE VILLAGE, CA 91361
(805) 778-1034
(805) 778-9194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
W20551
CA
332H00000X
Eyewear Supplier
G044103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20551
MEDICARE GROUP NUMBER
CA
Enumeration date
09/11/2008
Last updated
08/22/2023
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