Organization
EYECARE SPECIALISTS MEDICAL GROUP, INC.
Active
Other names
Atlantis Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA MARISOL GALINDO (CREDENTIALING SUPERVISOR)
(626) 305-9100
Entity
Organization
Contact information
Practice address
8028 3RD ST, DOWNEY, CA 90241-3602
(562) 622-8700
(562) 622-1800
Mailing address
2571 W. LA PALMA AVE., ANAHEIM, CA 92801
(714) 821-4666
(714) 826-2300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
W14969A
CA
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
W14969A
CA
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14969A
GROUP NUMBER
CA
Enumeration date
07/07/2006
Last updated
11/28/2022
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