Organization
EYE-MATE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R MENDOZA FAJARDO RSLD, RCLD (OPTICIAN/MANAGER)
(213) 380-3836
Entity
Organization
Contact information
Practice address
4214 BEVERLY BLVD, ROOM 207, LOS ANGELES, CA 90004-4479
(213) 380-3836
(213) 380-3836
Mailing address
4214 BEVERLY BLVD, ROOM 207, LOS ANGELES, CA 90004-4479
(213) 380-3836
(213) 380-3836
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D3788
CA
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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