Organization
EYECARE SPECIALISTS MEDICAL GROUP, INC.
Active
Other names
Atlantis Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA MARISOL GALINDO (CREDENTIALING SUPERVISOR)
(626) 305-9100
Entity
Organization
Contact information
Practice address
7677 CENTER AVE, SUITE 301, HUNTINGTON BEACH, CA 92647-3074
(714) 901-2007
(714) 901-2003
Mailing address
7677 CENTER AVE., SUITE 301, HUNTINGTON BEACH, CA 92647-3074
(714) 901-2004
(714) 901-2003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
W14969F
CA
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
W14969F
CA
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14969F
PIN
CA
Enumeration date
09/20/2006
Last updated
11/28/2022
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