Individual
GITA GHADIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTOMETRIST
Contact information
Practice address
15333 CULVER DR, SUITE 690, IRVINE, CA 92604-3078
(949) 552-4271
(949) 552-0321
Mailing address
15333 CULVER DR, SUITE 690, IRVINE, CA 92604-3078
(949) 552-4271
(949) 552-0321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12177T
CA
Other
Enumeration date
09/29/2006
Last updated
11/23/2008
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