| Alvarado Eye Associates Med Clinic Inc | |
|
7877 Parkway Dr., Suite# 100, La Mesa, CA 91942-2000 | |
| (619) 460-3711 | |
| (619) 460-2184 |
| Full Name | Alvarado Eye Associates Med Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 7877 Parkway Dr., La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619973591 | NPI | - | NPPES |
| Provider Name | Kimberly P Cockerham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366493629 PECOS PAC ID: 3678460300 Enrollment ID: I20040227001051 |
| Provider Name | Glenn Cook |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013078427 PECOS PAC ID: 6002918315 Enrollment ID: I20110120000470 |
| Provider Name | Lee R Katzman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912297284 PECOS PAC ID: 1355662644 Enrollment ID: I20150611003388 |
| Provider Name | Joseph Daniel Mannen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851827034 PECOS PAC ID: 0941571889 Enrollment ID: I20170810001844 |
| Provider Name | Jocelyn Ou |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225518996 PECOS PAC ID: 7810249224 Enrollment ID: I20181012002633 |
| Provider Name | Alla Fridman Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285085142 PECOS PAC ID: 0042505299 Enrollment ID: I20190903000922 |
| Provider Name | Randall Earl Conrad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962617464 PECOS PAC ID: 6103120720 Enrollment ID: I20200928002376 |
| Provider Name | Iga N Gray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033538350 PECOS PAC ID: 8527315902 Enrollment ID: I20220217001440 |
| Mailing Address | Practice Location Address |
|---|---|
| Alvarado Eye Associates Med Clinic Inc 75 Enterprise Ste 200, Aliso Viejo, CA 92656-2626 Ph: (949) 688-6205 | Alvarado Eye Associates Med Clinic Inc 7877 Parkway Dr., Suite# 100, La Mesa, CA 91942-2000 Ph: (619) 460-3711 |