Organization
EDMUNDO FIMBRES OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUNDO FIMBRES OD (CEO)
(831) 899-2020
Entity
Organization
Contact information
Practice address
915 HILBY AVE STE 1, SEASIDE, CA 93955
(831) 899-2020
(831) 899-5504
Mailing address
915 HILBY AVE STE 1, SEASIDE, CA 93955-5359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GROOO1660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152W00000X
—
CA
Enumeration date
03/26/2018
Last updated
09/21/2018
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