Organization
WESVAL ENTERPRISES INC
Active
Other names
Antioch Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG A. VALLEJO RDO (PRESIDENT/OWNER)
(924) 757-6677
Entity
Organization
Contact information
Practice address
3714 LONE TREE WAY, ANTIOCH, CA 94509
(925) 757-6677
(925) 757-1761
Mailing address
3714 LONE TREE WAY, ANTIOCH, CA 94509
(925) 757-6677
(925) 757-1761
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D2087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74552Z
—
CA
Enumeration date
10/03/2006
Last updated
10/06/2008
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