| |
23521 Paseo De Valencia, Suite 305, Laguna Hills, CA 92653-3107 | |
(949) 581-1770 | |
(949) 454-2002 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 23521 Paseo De Valencia, Laguna Hills, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487762159 | NPI | - | NPPES |
ZZZ65057Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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888 S Disneyland Dr, Suite 100, Anaheim, CA 92802-1847 Ph: (714) 399-0678 | 23521 Paseo De Valencia, Suite 305, Laguna Hills, CA 92653-3107 Ph: (949) 581-1770 |