| Doheny Eye Medical Group, Inc | |
|
7777 Milliken Ave Suite 125 Rancho Cucamonga CA 91730-6780 | |
| (323) 442-7160 | |
| Not Available |
| Full Name | Doheny Eye Medical Group, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 7777 Milliken Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Ronal E. Smith (PRESIDENT/CEO) |
| Authorized Official Contact | 3234427124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doheny Eye Medical Group, Inc 1450 San Pablo St Suite 3700 Los Angeles CA 90033-4500 Ph: (323) 442-7124 | Doheny Eye Medical Group, Inc 7777 Milliken Ave Suite 125 Rancho Cucamonga CA 91730-6780 Ph: (323) 442-7160 |
| NPI Number | 1316199110 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316199110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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