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General NPI Number Information
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NPI Number | 1225467038
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA EYE CONSULTANTS INC.
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Dates
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Enumeration Date | 11/03/2013
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 3111 N TUSTIN ST STE 150
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City | ORANGE
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State | CA
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Zip | 92865-1752
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Country | US
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Telephone | 714-771-2020
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Fax | 714-771-1900
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Provider Business Mailing Address
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Address Line | 3111 N TUSTIN ST STE 150
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City | ORANGE
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State | CA
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Zip | 92865-1752
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Country | US
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Telephone | 714-771-2020
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Fax | 714-771-1900
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. DAVID YOMTOOB
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Credential | MD
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Telephone | 952-484-8517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A107904
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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