Organization
EYECARE SPECIALISTS MEDICAL GROUP, INC.
Active
Other names
Atlantis Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA MARISOL GALINDO (CREDENTIALING SUPERVISOR)
(626) 305-9100
Entity
Organization
Contact information
Practice address
231 W VERNON AVE STE 104, LOS ANGELES, CA 90037-2778
(310) 819-9500
(323) 703-1301
Mailing address
1595 E 17TH ST, SANTA ANA, CA 92705-8506
(714) 399-0678
(714) 276-6489
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
11/28/2022
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