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NPI Code Detail

MEDICARE: LIANA BAMBI SWITZER OD

MEDICARE: LIANA BAMBI SWITZER OD
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
1152W00000XOptometrist33819TLGCA

General Provider Information

NPI Number : 1609393305
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIANA BAMBI SWITZER OD
Provider Business Mailing Address
First Line : 465 MISTY HAVEN CT
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-6309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3635 N FREEWAY BLVD UNIT 120
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-2926
Country : US
Telephone Number : 916-713-4880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 03/23/2023

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Directions to “ LIANA BAMBI SWITZER OD” Practice Location

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