Organization
SALL EYE RESEARCH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH N SALL M.D. (MEDICAL DIRECTOR/OWNER)
(562) 804-1974
Entity
Organization
Contact information
Practice address
11423 187TH STREET, SUITE 200, ARTESIA, CA 90701-5657
(562) 804-1974
(562) 804-4350
Mailing address
11423 187TH STREET, SUITE 200, ARTESIA, CA 90701-5657
(562) 804-1974
(562) 804-4350
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G449020
—
CA
Enumeration date
08/24/2006
Last updated
08/18/2011
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