Organization
FOURTH OPTOMETRIC CARE OF CALIFORNIA
Active
Other names
OPTOMETRY IN THE SQUARE
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HOLCOMB (CREDENTIALING)
(726) 444-4545
Entity
Organization
Contact information
Practice address
4074 HARDWICK ST, LAKEWOOD, CA 90712-2349
(562) 633-6443
Mailing address
3333 QUALITY DR, RANCHO CORDOVA, CA 95670-7985
(704) 712-0564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
11/01/2023
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