Organization
NEW VISTA EYE CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LOWELL DAVIDIAN M.D. (PRESIDENT)
(951) 734-8600
Entity
Organization
Contact information
Practice address
1820 FULLERTON AVE STE 310, CORONA, CA 92881-3175
(951) 734-8600
Mailing address
1820 FULLERTON AVE STE 310, CORONA, CA 92881-3175
(951) 734-8600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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