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Individual

DR. GARY MARTIN FISHBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5225 CANYON CREST DR STE 201, RIVERSIDE, CA 92507-6323
(951) 788-2020
(951) 684-2020
Mailing address
5225 CANYON CREST DR STE 201, RIVERSIDE, CA 92507-6323
(951) 788-2020
(951) 684-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
6656
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
6656T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0066562
CA
Enumeration date
02/13/2007
Last updated
02/12/2020
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