Organization
SOUTH COAST EYE CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW HENRICK M.D. (PRESIDENT/OWNER)
(949) 588-2020
Entity
Organization
Contact information
Practice address
31852 PACIFIC COAST HWY, STE 101, LAGUNA BEACH, CA 92651-6765
(949) 588-2020
(949) 588-0336
Mailing address
23961 CALLE MAGDALENA, STE 302, LAGUNA HILLS, CA 92653-3665
(949) 588-2020
(949) 588-0336
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
EAA994358090001EA
CA
Other
Enumeration date
04/11/2008
Last updated
04/16/2008
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