institution
Pacific Eye Institute A Medical Group Inc
Ambulatory Surgical Clinic/Center in Upland, California
NPI 1407932619

Pacific Eye Institute A Medical Group Inc is an Ambulatory Surgical Clinic/Center based in Upland, CA and is specialized in Ambulatory Surgical. Pacific Eye Institute A Medical Group Inc practices in Upland, CA. The NPI Number for Pacific Eye Institute A Medical Group Inc is 1407932619 and holds a License No. 240000525 (California).

The current practice location address for Pacific Eye Institute A Medical Group Inc is 555 N 13Th Ave, Upland, CA and can be reached out via phone at 909-982-8846 and via fax at 909-931-0791.

Location: 555 N 13Th Ave, Upland, CA, 91786-4904
institution
Provider Profile Details
NPI Number
1407932619
Provider Name
Pacific Eye Institute A Medical Group Inc
Credential
Provider Entity Type
Organization
Address
555 N 13Th Ave, Upland, CA, 91786-4904
Phone Number
909-982-8846
Fax Number
909-931-0791
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SUR51061F 05 CA
institution
Provider Business Practice Location Address Details
Address
555 N 13Th Ave
City
State
Zip
91786-4904
Phone Number
909-982-8846
Fax Number
909-931-0791
person
Provider Business Mailing Address Details
Address
555 N 13Th Ave
City
State
Zip
91786-4904
Phone Number
909-982-8846
Fax Number
909-931-0791
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
240000525 (California)
Definition
Definition to come...
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