Organization
PROCARE, IPA INC
Active
Parent organization
ALLIANCE EYE MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE EYE MEDICAL GROUP, INC.
Authorized official
MS. MICHELLE N PALMER (ADMINISTRATOR, COO)
(323) 263-6774
Entity
Organization
Contact information
Practice address
1828 E CESAR E CHAVEZ AVE STE 6500, LOS ANGELES, CA 90033-2585
(323) 263-6774
(323) 263-1277
Mailing address
1828 E CESAR E CHAVEZ AVE STE 6500, LOS ANGELES, CA 90033-2585
(323) 263-6774
(323) 263-1277
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
08/06/2020
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