Organization
SAN DIEGO EYECOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVINUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
3939 3RD AVE, SAN DIEGO, CA 92103-3002
(619) 296-8525
(619) 692-0229
Mailing address
3939 3RD AVE, SAN DIEGO, CA 92103-3002
(800) 765-2737
(619) 291-6577
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
03/02/2026
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