Organization
IMPERIAL BEACH OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILY HANONO (SECRETARY)
(619) 424-9333
Entity
Organization
Contact information
Practice address
894 PALM AVE, STE B, IMPERIAL BEACH, CA 91932-1572
(619) 424-9333
(619) 424-3356
Mailing address
10663 AMBERGLADES LN, SAN DIEGO, CA 92130-4841
(619) 424-9333
(619) 424-3356
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6681TPG
CA
Other
Enumeration date
09/16/2014
Last updated
07/30/2022
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