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GLENDALE OPHTHALMOLOGY ASC LP

Surgery Yellow Pages

Glendale, California

Provider NPI: 1225001423

Organization Information:
Organization Name:  GLENDALE OPHTHALMOLOGY ASC LP


Practice Location:
607 N CENTRAL AVE SUITE 103 GLENDALE, CA 91203 US
Tel: 818-956-1010  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
CA930000717

Other Provider Identifiers:

IssuerNumberStateType
05-C0001131CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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