Organization
EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC J KAHLE MD (OWNER)
(707) 823-7628
Entity
Organization
Contact information
Practice address
14709 LAKESHORE DRIVE, CLEARLAKE, CA 95422-5539
(707) 994-8644
(707) 994-5015
Mailing address
PO BOX 5539, CLEARLAKE, CA 95422-5539
(707) 994-8644
(707) 994-5015
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
97-518945 00004 JH
CA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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