Organization
SOUTHERN CALIFORNIA GLAUCOMA CONSULTANTS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED MARC SOLISH MD (OWNER/ MEDICAL DIRECTOR)
(626) 577-1115
Entity
Organization
Contact information
Practice address
630 S RAYMOND AVE, 230, PASADENA, CA 91105-3278
(626) 577-1115
(626) 577-1385
Mailing address
630 S RAYMOND AVE, 230, PASADENA, CA 91105-3278
(626) 577-1115
(626) 577-1385
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G42828
CA
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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