Organization
CALIFORNIA EYE PROFESSIONALS MEDICAL GROUP INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BLASE MD (OWNER)
(951) 301-8888
Entity
Organization
Contact information
Practice address
29826 HAUN RD, STE 100, MENIFEE, CA 92586-6546
(951) 301-8888
(951) 301-4137
Mailing address
29826 HAUN RD, STE 100, MENIFEE, CA 92586-6546
(951) 301-8888
(951) 301-4137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G50680
CA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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