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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Optometrist · CULVER CITY, CA

Registration Details

NPI Number
1770638330
Provider Type
Organization
NPI Issued
Jan 24, 2007 (19.242576552587 yrs)
Last Updated
Sep 14, 2010

Practice Information

Address
6101 W CENTINELA AVE
SUITE 150
CULVER CITY, CA, 902306337
Browse CA providers · Browse ZIP 90230
Phone
3109881970
Fax
3109881980
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
2255R0406X
Additional Specialty
Optometrist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.