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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
607 N CENTRAL AVE SUITE 103 GLENDALE, CA 91203 US
Tel: 818-956-1010 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | CA | 930000717 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
05-C0001131 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin