MEDICARE: ALYSSA PEDROZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	34864	CA

General Provider Information

NPI Number	:	1053084079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA PEDROZA

Provider Business Mailing Address
First Line	:	12461 W WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5511
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12461 W WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5511
Country	:	US
Telephone Number	:	310-390-6287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2021
Last Update Date	:	08/13/2021

Similar Medicare Providers

1912992835 — DR. RANDALL WATARU YUMORI O.D.
Practice Location Address:

12461 W WASHINGTON BLVD
LOS ANGELES, CA
90066-5511

Practice Phone: 310-390-6287
Practice Fax: 310-391-8464

1407917701 — MARINA EYECARE CENTER
Practice Location Address:

12461 W WASHINGTON BLVD
LOS ANGELES, CA
90066-5511

Practice Phone: 310-390-6287
Practice Fax: 310-391-8464

1073711461 — DR. CYNTHIA ARATA LO O.D.
Practice Location Address:

12461 W WASHINGTON BLVD
LOS ANGELES, CA
90066-5511

Practice Phone: 310-390-6287
Practice Fax:

1558588533 — HORIZON MEDICAL EQUIPMENT & SUPPLY, INC.
Practice Location Address:

5511 SAN VICENTE BLVD
LOS ANGELES, CA
90019-2718

Practice Phone: 323-525-1829
Practice Fax: 323-525-1846

1992943211 — EZM MEDICAL SUPPLIES,INC
Practice Location Address:

5511 SAN VICENTE BLVD
LOS ANGELES, CA
90019-2718

Practice Phone: 818-294-2003
Practice Fax:

1619726346 — CHRISTOPHER MICHAEL CONLEY LMHC/LPCC
Practice Location Address:

390 HAUSER BLVD APT 5F
LOS ANGELES, CA
90036-5511

Practice Phone: 808-628-1626
Practice Fax:

Directions to “ ALYSSA PEDROZA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.