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NPI Code Detail

MEDICARE: PUJA PAREKH O D INC

MEDICARE: PUJA PAREKH O D INC
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
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11568877314OTHERCAEYEMED

General Provider Information

NPI Number : 1164195400
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUJA PAREKH O D INC
Provider Business Mailing Address
First Line : 18299 GOLDBARK WAY
Second Line :
City : YORBA LINDA
State : CA
Zip : 92886-8424
Country : US
Telephone Number : 909-717-6971
Fax Number :
Provider Business Practice Location Address
First Line : 1202 S IDAHO ST STE H
Second Line :
City : LA HABRA
State : CA
Zip : 90631-0607
Country : US
Telephone Number : 562-316-0216
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : PUJA PAREKH
Credential : O.D.
Telephone Number : 909-717-6971
Provider Enumeration Date : 07/30/2021
Last Update Date : 07/30/2021

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Directions to “PUJA PAREKH O D INC ” Practice Location

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