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General NPI Number Information
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NPI Number | 1306321914
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Entity Type | Organization
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Legal Business Name | ZELAYA OPTOMETRY INC
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 3840 MAIN ST
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City | CULVER CITY
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State | CA
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Zip | 90232-2620
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Country | US
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Telephone | 310-839-2090
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Fax | 310-204-5858
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Provider Business Mailing Address
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Address Line | 3840 MAIN ST
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City | CULVER CITY
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State | CA
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Zip | 90232-2620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. KATYA SUYIN ZELAYA
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Credential | OD
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Telephone | 310-839-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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