Organization
ANIKA DEWAN O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIKA DEWAN (PRESIDENT)
(714) 496-9246
Entity
Organization
Contact information
Practice address
302 COLORADO AVE, SANTA MONICA, CA 90401-2318
(310) 393-5503
Mailing address
25039 WINTERGREEN CT, NEWHALL, CA 91381-2214
(714) 496-9246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT13802TLG
CA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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