Organization
CLEAR VISTA OPHTHALMOLOGY INC, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY JAMES WOLSTAN M.D. (PRESIDENT)
(310) 541-4905
Entity
Organization
Contact information
Practice address
23600 TELO AVE, SUITE 100, TORRANCE, CA 90505-4035
(310) 543-2611
(310) 543-2056
Mailing address
23600 TELO AVE, SUITE 100, TORRANCE, CA 90505-4035
(310) 543-2611
(310) 543-2056
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G30536
CA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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