Vanessa Ceballos Park O.D.

NPI 1083743991 - Optometrist - 152W00000X

NPI Details
NPI 1083743991
Gender Female
Enumeration Date 03/05/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
375 E ALESSANDRO BLVD
RIVERSIDE CA, 92508-2463, US
Phone (951) 789-6019
Fax (951) 789-6036
Business Location
28638 QUEENSLAND DR
MENIFEE CA, 92584-7895, US
Phone (951) 378-8220
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 13083T
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According to our database, Dr. Vanessa Ceballos Park O.D. NPI is 1083743991, taxonomy code is 152W00000X and license number is 13083T, license state is located at California. Vanessa Ceballos Park O.D. physically located at 375 E Alessandro Blvd, Riverside CA, 92508-2463. NPI Number Vanessa Ceballos Park O.D. has the Individual type.

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1083743991 NPI number is provided on an as is basis without warranty of any kind. 1083743991 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Ceballos Park O.D. are for informational purposes only.