Organization
OCULAR SURGERY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ROSENE (OFFICE MANAGER)
(818) 706-9191
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD STE 801, LOS ANGELES, CA 90017-4808
(213) 977-1184
Mailing address
1245 WILSHIRE BLVD STE 801, LOS ANGELES, CA 90017-4808
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0077481
—
CA
Enumeration date
09/25/2007
Last updated
10/21/2011
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