Organization
ALVARADO EYE ASSOCIATES MED CLINIC INC
Active
Other names
Alvarado Eye Associates Medical Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN COOK MD (OWNER)
(619) 460-3711
Entity
Organization
Contact information
Practice address
7877 PARKWAY DR., SUITE# 100, LA MESA, CA 91942-2000
(619) 460-3711
(619) 460-2184
Mailing address
75 ENTERPRISE STE 200, ALISO VIEJO, CA 92656-2626
(949) 688-6205
(619) 460-2184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2005
Last updated
08/21/2023
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