| Larry J Gottlieb Inc A Professional Corporation | |
|
6418 E Del Amo Blvd, Lakewood, CA 90713 | |
| (562) 420-2055 | |
| (562) 420-1784 |
| Full Name | Larry J Gottlieb Inc A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6418 E Del Amo Blvd, Lakewood, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013176130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6451T (California) | Primary |
| Provider Name | Donald S Gottlieb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316250665 PECOS PAC ID: 1355525353 Enrollment ID: I20110418000106 |
| Provider Name | Larry Jay Gottlieb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609900653 PECOS PAC ID: 7517945876 Enrollment ID: I20150724011444 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry J Gottlieb Inc A Professional Corporation 6418 E Del Amo Blvd, Lakewood, CA 90713 Ph: (562) 420-2055 | Larry J Gottlieb Inc A Professional Corporation 6418 E Del Amo Blvd, Lakewood, CA 90713 Ph: (562) 420-2055 |
Sandra S Lin-lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2770 Carson St, Lakewood, CA 90712 Phone: 562-497-9476 | |
Dr. Phung Quach, Od Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 11421 Carson St Ste F, Lakewood, CA 90715 Phone: 562-402-1900 | |
Michela M Fong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3300 E South St Ste 105, Lakewood, CA 90805 Phone: 562-531-2020 | |
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2770 Carson St, Lakewood, CA 90712 Phone: 562-497-9476 Fax: 562-497-9369 | |
Esther C Park, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 63 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-634-2442 | |
Dr. Hemali Bhakta Jardosh, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 340 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-602-6100 Fax: 562-295-1520 |