Individual
DR. JAMES VINCENT MAGGIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16801 S BELLFLOWER BLVD, BELLFLOWER, CA 90706
(562) 867-4220
(562) 920-4375
Mailing address
16801 S BELLFLOWER BLVD, BELLFLOWER, CA 90706
(562) 867-4220
(562) 920-4375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8794T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024040001
MEDICARE MATERIALS
CA
05
—
5239723
—
CA
01
—
SD0087940
MEDICAL
CA
Enumeration date
12/18/2006
Last updated
07/08/2007
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