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
3655 LOMITA BLVD STE 410, TORRANCE, CA 90505-1929
(310) 803-9633
(310) 803-9634
Mailing address
888 S DISNEYLAND DR, SUITE 100, ANAHEIM, CA 92802-1847
(714) 399-0678
(714) 276-6489
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
68583
CA
207W00000X
Ophthalmology Physician
Primary
68583
CA
Other
Enumeration date
12/31/2014
Last updated
11/28/2022
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