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General NPI Number Information
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NPI Number | 1902880867
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Entity Type | Organization
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Legal Business Name | ALAN C. WESTEREN, M.D., INC.
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 16486 BERNARDO CENTER DR STE C-150 ALAN C WESTEREN MD INC/EXPERTVISIONCAREMEDGRP
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City | SAN DIEGO
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State | CA
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Zip | 92128-2518
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Country | US
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Telephone | 858-673-2277
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Fax | 858-451-3733
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Provider Business Mailing Address
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Address Line | 4629 CASS ST #59 ALAN WESTEREN MD/EXPERT VISION CARE MEDICAL GROUP
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City | SAN DIEGO
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State | CA
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Zip | 92109-2805
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Country | US
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Telephone | 858-673-2277
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Fax | 858-451-3733
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. ALAN C. WESTEREN
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Credential | M.D.
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Telephone | 858-354-9833
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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 | G79738
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License Number State | CA
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