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Organization

CALIFORNIA EYE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY CREIGHTON (BOOKKEEPING MANAGER)
(925) 754-2300
Entity
Organization

Contact information

Practice address
3747 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 754-2300
Mailing address
3747 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 754-2300

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0018430
CA
05
GR0018431
CA
05
GR0018432
CA
05
SUR01085F
CA
Enumeration date
02/19/2007
Last updated
08/22/2020
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