Organization
ORANGE COAST EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SCIACCA (BILLING MANAGER)
(714) 546-2020
Entity
Organization
Contact information
Practice address
18426 BROOKHURST ST, SUITE 103, FOUNTAIN VALLEY, CA 92708-6776
(714) 546-2020
(714) 436-2929
Mailing address
18426 BROOKHURST ST, SUITE 103, FOUNTAIN VALLEY, CA 92708-6776
(714) 546-2020
(714) 436-2929
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G270030
—
CA
01
—
W22487
MEDICARE PIN
CA
Enumeration date
08/07/2007
Last updated
01/06/2020
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