Organization
KATHLEEN DENNIS-ZARATE MD
Active
Other names
THE SPECTACLE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN JUNE DENNIS ZARATE M.D. (OWNER PRESIDENT)
(818) 249-6447
Entity
Organization
Contact information
Practice address
2330 HONOLULU AVE, MONTROSE, CA 91020-1822
(818) 551-7127
(818) 249-0547
Mailing address
2330 HONOLULU AVE, MONTROSE, CA 91020-1822
(818) 249-6447
(818) 249-0547
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G81539
CA
207W00000X
Ophthalmology Physician
Primary
G81715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0095000
—
CA
Enumeration date
12/29/2006
Last updated
08/22/2020
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