Organization
CALIFORNIA CENTER FOR REFRACTIVE SURGERY A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL C LEE MD (CEO)
(323) 933-3111
Entity
Organization
Contact information
Practice address
4160 WILSHIRE BLVD # 2, LOS ANGELES, CA 90010-3567
(323) 933-3111
(323) 933-3393
Mailing address
4160 WILSHIRE BLVD FL 2, LOS ANGELES, CA 90010-3567
(323) 933-3111
(323) 933-3393
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G77461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G77461
—
CA
Enumeration date
06/19/2007
Last updated
06/18/2021
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