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Organization

ALVARADO EYE ASSOCIATES MED CLINIC INC

Active
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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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