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Individual

ATOUSA ATTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
300 THE SHOPS BLVD, MISSION VIEJO, CA 92691-9269
(949) 347-1287
(949) 347-1256
Mailing address
3085 LOMA VISTA RD, VENTURA, CA 93003-2916
(805) 648-3085
(805) 648-7027

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT12544
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205153800
US DEPT. OF LABOR
CA
Enumeration date
06/17/2006
Last updated
07/01/2021
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