Healthcare Provider Details

I. General information

NPI: 1194108084
Provider Name (Legal Business Name): AARONSHAWN POOLSAAD O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AARON POOLSAAD O.D.

II. Dates (important events)

Enumeration Date: 07/09/2015
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8135 PAINTER AVE STE 100
WHITTIER CA
90602
US

IV. Provider business mailing address

8135 PAINTER AVE STE 100
WHITTIER CA
90602-3159
US

V. Phone/Fax

Practice location:
  • Phone: 562-945-7300
  • Fax: 888-475-4040
Mailing address:
  • Phone: 562-945-7300
  • Fax: 888-475-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number15269
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: