NEDA G ELIJAH

BERKELEY, CA
NPI1427490077
Former NameNEDA GHANBARI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  14636)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  14636)
Enumeration Date2013-07-24
Last Update Date2021-12-14
Business Address
NEDA G ELIJAH OD
200 MINOR HL
BERKELEY, CA 94720-0001
Phone number: 510-642-2020
Mailing Address
NEDA G ELIJAH OD
25461 RODEO CIR
LAGUNA HILLS, CA 92653-5880
Phone number: