Organization
CENTURY EYE CARE MEDICAL CENTER, INC.
Active
Other names
CENTURY EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GASCON (FINANCE EXECUTIVE ADMINISTRATOR)
(310) 767-7814
Entity
Organization
Contact information
Practice address
1141 W REDONDO BEACH BLVD, STE 101, GARDENA, CA 90247-3585
(310) 767-7814
(310) 323-3785
Mailing address
1141 W REDONDO BEACH BLVD STE 101, GARDENA, CA 90247-3585
(310) 767-7814
(310) 323-3785
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G831560
—
CA
05
—
00G831561
—
CA
05
—
OOG831560
MEDI-CAL PROVISER NO
CA
Enumeration date
07/25/2007
Last updated
12/31/2025
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