| NPI | 1619973591 |
|---|---|
| Former Legal Business Name | ALVARADO EYE ASSOCIATES MEDICAL CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | GLEN COOK Owner 619-460-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2023-08-21 |