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Organization

PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANTE CERVANTES (MEDICAL STAFF SERVICES SPECIALIST)
(909) 277-2420
Entity
Organization

Contact information

Practice address
555 N 13TH AVE, UPLAND, CA 91786-4904
(909) 982-8846
(909) 949-3967
Mailing address
555 N 13TH AVE, UPLAND, CA 91786-4904
(909) 982-8846
(909) 949-3967

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0055500
CA
05
GR0055502
CA
05
GR0055503
CA
Enumeration date
07/21/2006
Last updated
03/13/2026
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