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NPI Code Detail

MEDICARE: SPECIALTY EYE CARE MEDICAL CENTER, INC.

MEDICARE: SPECIALTY EYE CARE MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianCA

General Provider Information

NPI Number : 1932137601
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALTY EYE CARE MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 409 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2001
Country : US
Telephone Number : 818-265-7777
Fax Number : 818-241-8700
Provider Business Practice Location Address
First Line : 409 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2001
Country : US
Telephone Number : 818-265-7777
Fax Number : 818-241-8700
Authorized Official
Title or Position : PRESIDENT
Name : DR. KARINE GABRIELIAN
Credential : M.D.
Telephone Number : 818-265-7777
Provider Enumeration Date : 06/29/2006
Last Update Date : 08/13/2010

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Directions to “SPECIALTY EYE CARE MEDICAL CENTER, INC. ” Practice Location

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