| Dr Ifrah Sheesfarooqui, OD | |
| 
					1142 W Redondo Beach Blvd, Gardena, CA 90247-3538  | |
| (310) 323-5095 | |
| Not Available | 
| Full Name | Dr Ifrah Sheesfarooqui | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 1142 W Redondo Beach Blvd, Gardena, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467833905 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 2097 (Arizona) | Secondary | 
| 152W00000X | Optometrist | OPT33572 TLG (California) | Primary | 
| Provider Name | Paul T Urrea M D M P H Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1619074838 PECOS PAC ID: 9638130735 Enrollment ID: O20041021001057  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ifrah Sheesfarooqui, OD 1142 W Redondo Beach Blvd, Gardena, CA 90247-3538 Ph: (310) 323-5095  | Dr Ifrah Sheesfarooqui, OD 1142 W Redondo Beach Blvd, Gardena, CA 90247-3538 Ph: (310) 323-5095  | 
Dr. Jerry Stanley Wake, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1630 W Redondo Beach Blvd, Suite #1, Gardena, CA 90247 Phone: 310-324-8205  | |
Joel Goodman Od A Prof Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1713 W Artesia Blvd, Gardena, CA 90248 Phone: 310-329-4128 Fax: 310-329-9180  | |
East-west Eye Institute A Medical Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 879 W 190th St Ste 100, Gardena, CA 90248 Phone: 310-329-9975 Fax: 310-329-4759  | |
Michael Kobayashi, Od Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18204 S Western Ave, Gardena, CA 90248 Phone: 310-719-2020 Fax: 310-719-2068  | |
Nancy T Imamoto Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1713 W Artesia Blvd, Gardena, CA 90248 Phone: 310-329-4128 Fax: 310-329-9180  | |
Yoshioka Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1425 W Artesia Blvd, Ste #32, Gardena, CA 90248 Phone: 310-769-1642  | |
Cecilia Chang Raju, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15446 S Western Ave, Gardena, CA 90249 Phone: 310-217-5370  |