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Jimmy R Cam, LDO
Optician in Gardena, California
NPI 1306963889

Jimmy R Cam is a Optician based in Gardena, CA and is specialized in Optician. Jimmy R Cam practices in Gardena, CA and has the professional credentials of LDO. The NPI Number for Jimmy R Cam is 1306963889 and holds a License No. 930 (California).

The current practice location address for Jimmy R Cam is 1425 W Artesia Blvd, Gardena, CA and can be reached out via phone at 310-323-0884.

Location: 1425 W Artesia Blvd, Gardena, CA, 90248-3231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306963889
Provider Name
Jimmy R Cam
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
1425 W Artesia Blvd, Gardena, CA, 90248-3231
Phone Number
310-323-0884
Fax Number
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DX0037630 05 CA
JO18693 01 CA SPECTERA
1399 01 CA MEDICAL EYE SERVICES
112600 01 CA EYEMED
institution
Provider Business Practice Location Address Details
Address
1425 W Artesia Blvd
City
Gardena
State
California
Zip
90248-3231
Phone Number
310-323-0884
Fax Number
person
Provider Business Mailing Address Details
Address
1425 W Artesia Blvd
City
Gardena
State
California
Zip
90248-3231
Phone Number
310-323-0884
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
D6907 (California)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
930 (California)
Definition
Definition to come...
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