| Ecs Of Los Angeles I Optometry Corporation | |
|
21612 Plano Trabuco Rd Ste C, Trabuco Canyon, CA 92679-3488 | |
| (618) 462-9818 | |
| Not Available |
| Full Name | Ecs Of Los Angeles I Optometry Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 21612 Plano Trabuco Rd Ste C, Trabuco Canyon, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356205652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ecs Of Los Angeles I Optometry Corporation 111 E 4th St Alton Il 62002, Suite 440, Alton, IL 62002 Ph: () - | Ecs Of Los Angeles I Optometry Corporation 21612 Plano Trabuco Rd Ste C, Trabuco Canyon, CA 92679-3488 Ph: (618) 462-9818 |
Ecs Of Los Angeles I Optometry Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21612 Plano Trabuco Rd Ste C, Trabuco Canyon, CA 92679 Phone: 618-462-9818 | |
Dr. Sonia Kim Kostura, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21612 Plano Trabuco Rd Ste C, Trabuco Canyon, CA 92679 Phone: 949-459-5687 Fax: 949-459-5690 | |
Dr. Michael Richard Kostura Ii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 21612 Plano Trabuco Rd Ste C, Trabuco Canyon, CA 92679 Phone: 949-459-5687 Fax: 949-459-5690 |