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Organization

ADVANCED VISION CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL MASKET MD (PHYSICIAN)
(310) 229-1220
Entity
Organization

Contact information

Practice address
2080 CENTURY PARK EAST, SUITE 911, LOS ANGELES, CA 90067
(310) 229-1220
(310) 229-1222
Mailing address
2080 CENTURY PARK EAST, SUITE 911, LOS ANGELES, CA 90067
(310) 229-1220
(310) 229-1222

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G337810
CA
Enumeration date
10/03/2007
Last updated
09/11/2008
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