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Organization

DR AMI PATEL, OPTOMETRIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMI T PATEL O.D. (OWNER)
(909) 598-4393
Entity
Organization

Contact information

Practice address
2771 S DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-3513
(909) 598-4393
Mailing address
2771 S DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-3513

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9067T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GSD005350
CA
Enumeration date
05/16/2007
Last updated
01/22/2009
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