Organization
EYESTHESTICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE KWAN (BILLING MANAGER)
(310) 360-3922
Entity
Organization
Contact information
Practice address
800 FAIRMOUNT AVE, SUITE 207, PASADENA, CA 91105-3150
(310) 360-3922
(310) 360-9246
Mailing address
PO BOX 50187, PASADENA, CA 91115-0187
(310) 360-3922
(310) 360-9246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AAAHC
CA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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