Individual
DR. EDUARDO PEDRO MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18066 FOOTHILL BLVD, FONTANA, CA 92335-8503
(909) 427-8900
(951) 359-0550
Mailing address
18066 FOOTHILL BLVD, FONTANA, CA 92335-8503
(909) 427-8900
(951) 359-0550
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A86739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A867390
—
CA
Enumeration date
06/22/2006
Last updated
07/31/2023
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