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General NPI Number Information
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NPI Number | 1689973653
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Entity Type | Organization
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Legal Business Name | ARROYO VISION CENTER
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 7447 N FIGUEROA ST SUITE 200
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City | LOS ANGELES
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State | CA
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Zip | 90041-1718
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Country | US
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Telephone | 323-256-3937
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Fax | 323-257-3200
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Provider Business Mailing Address
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Address Line | 7447 N FIGUEROA ST SUITE 200
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City | LOS ANGELES
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State | CA
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Zip | 90041-1718
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Country | US
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Telephone | 323-257-3937
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Fax | 877-579-4558
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | KHALED A TAWANSY
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Credential | M.D.
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Telephone | 323-257-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G767620
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License Number State | CA
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