Individual
ANTHONY G. NOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10710 N TORREY PINES RD, LA JOLLA, CA 92037-1035
(858) 554-7996
(858) 554-6726
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7996
(858) 554-6726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT9826T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0098260
—
CA
Enumeration date
04/06/2006
Last updated
01/14/2020
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