La Mirada Optometry, Inc.

NPI 1245366046 - Optometrist - 152W00000X

NPI Details
NPI 1245366046
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL LAWRENCE MICHAEL
Position PRESIDENT
Phone (562) 921-6659
Fax
Practice Location
12819 VALLEY VIEW AVE
LA MIRADA CA, 90638-1945, US
Phone (562) 921-6659
Fax
Business Location
12819 VALLEY VIEW AVE
LA MIRADA CA, 90638-1945, US
Phone (562) 921-6659
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 4891T
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According to our database, La Mirada Optometry, Inc. NPI is 1245366046, taxonomy code is 152W00000X and license number is 4891T, license state is located at California. La Mirada Optometry, Inc. physically located at 12819 Valley View Ave, La Mirada CA, 90638-1945. NPI Number 1033115704 has the healthcare provider type.

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1245366046 NPI number is provided on an as is basis without warranty of any kind. 1245366046 is maintained by the National Plan & Provider Enumeration System. The contents of La Mirada Optometry, Inc. are for informational purposes only.