MEDICARE: DR. ORLANDO G GUIANG O.D.

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	9901T	CA

General Provider Information

NPI Number	:	1063404515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORLANDO G GUIANG O.D.

Provider Business Mailing Address
First Line	:	8230 MIRA MESA BLVD
Second Line	:	SUITE B
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-2625
Country	:	US
Telephone Number	:	858-566-6670
Fax Number	:

Provider Business Practice Location Address
First Line	:	8230 MIRA MESA BLVD
Second Line	:	SUITE B
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-2625
Country	:	US
Telephone Number	:	858-566-6670
Fax Number	:

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	03/29/2016

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