| NPI | 1447896154 |
|---|---|
| Doing Business As | SAN PEDRO EYE CARE MEDICAL GROUP INC A PROFESSIONAL MEDICAL CORPORATIO |
| Entity Type | Organization |
| Authorized Contact | NICOLE TURNER Credentialing Manager 949-688-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-11-09 |