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Organization

SAND PACIFIC EYE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL SAND MD (AGENT OF SERVICE)
(310) 750-3820
Entity
Organization

Contact information

Practice address
1964 WESTWOOD BLVD STE 125, LOS ANGELES, CA 90025-8405
(310) 441-2263
Mailing address
1964 WESTWOOD BLVD STE 125, LOS ANGELES, CA 90025-8405

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207WX0120X
Cornea and External Diseases Specialist Physician

Other

Enumeration date
07/19/2019
Last updated
12/14/2020
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