Organization
ALAN C. WESTEREN, M.D., INC.
Active
Other names
Expert Vision Care Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN C. WESTEREN M.D. (CHIEF EXECUTIVE OFFICER)
(858) 354-9833
Entity
Organization
Contact information
Practice address
16486 BERNARDO CENTER DR, STE C-150 ALAN C WESTEREN MD INC/EXPERTVISIONCAREMEDGRP, SAN DIEGO, CA 92128-2518
(858) 673-2277
(858) 451-3733
Mailing address
4629 CASS ST, #59 ALAN WESTEREN MD/EXPERT VISION CARE MEDICAL GROUP, SAN DIEGO, CA 92109-2805
(858) 673-2277
(858) 451-3733
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G79738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G797380
—
CA
01
—
P00131150
RAILROAD MEDICARE NUMBER
CA
01
—
W18008
MEDICARE COSTA MESA OFFC
CA
01
—
W18008A
MEDICARE POWAY OFFICE
CA
01
—
W18008B
MEDICARE SAN DIEGO OFFICE
CA
Enumeration date
12/05/2005
Last updated
10/21/2009
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