Organization
OCULAR SURGERY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALVIN D ANDERS M.D. (PARTNER)
(626) 303-7788
Entity
Organization
Contact information
Practice address
931 BUENA VISTA ST, SUITE 204, DUARTE, CA 91010-1712
(626) 303-7788
(626) 359-8912
Mailing address
931 BUENA VISTA ST, SUITE 204, DUARTE, CA 91010-1712
(626) 303-7788
(626) 359-8912
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0077480
—
CA
Enumeration date
04/26/2007
Last updated
08/22/2020
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