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NPI Code Detail

MEDICARE: M. LINDA ARBOLEDA O.D.

MEDICARE:   M. LINDA  ARBOLEDA  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
1152WC0802XCorneal and Contact Management Optometrist8657TCA

General Provider Information

NPI Number : 1073632741
Entity Type Code : Individual
Provider Name (Legal Business Name) : M. LINDA ARBOLEDA O.D.
Provider Business Mailing Address
First Line : 10088 ADAMS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-4905
Country : US
Telephone Number : 714-962-9377
Fax Number : 714-593-1237
Provider Business Practice Location Address
First Line : 10088 ADAMS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-4905
Country : US
Telephone Number : 714-962-9377
Fax Number : 714-593-1237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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