Pauline F Ilsen O.D.

NPI 1003849712 - Optometrist - 152W00000X

NPI Details
NPI 1003849712
Gender Female
Enumeration Date 07/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11301 WILSHIRE BLVD
WEST LA VETERANS AFFAIRS HEALTHCARE CTR B 304 RM 2-111
LOS ANGELES CA, 90073-1003, US
Phone (310) 478-3711
Fax (310) 268-3780
Business Location
11301 WILSHIRE BLVD
WEST LA VETERANS AFFAIRS HEALTHCARE CTR B 304 RM 2-111
LOS ANGELES CA, 90073-1003, US
Phone (310) 478-3711
Fax (310) 268-3780
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 1513
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According to our database, Dr. Pauline F Ilsen O.D. NPI is 1003849712, taxonomy code is 152W00000X and license number is 1513, license state is located at Colorado. Pauline F Ilsen O.D. physically located at 11301 Wilshire Blvd, Los Angeles CA, 90073-1003. NPI Number Pauline F Ilsen O.D. has the Individual type.

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1003849712 NPI number is provided on an as is basis without warranty of any kind. 1003849712 is maintained by the National Plan & Provider Enumeration System. The contents of Pauline F Ilsen O.D. are for informational purposes only.