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Glendora Optometry Apc
Health Service Clinic/Center in Glendora, California
NPI 1811666506

Glendora Optometry Apc is a Health Service Clinic/Center based in Glendora, CA and is specialized in Health Service. Glendora Optometry Apc practices in Glendora, CA. The NPI Number for Glendora Optometry Apc is 1811666506 and holds a License No. (California).

The current practice location address for Glendora Optometry Apc is 852 S Grand Ave, Glendora, CA and can be reached out via phone at 626-914-4815 and via fax at 626-914-0502.

Location: 852 S Grand Ave, Glendora, CA, 91740-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811666506
Provider Name
Glendora Optometry Apc
Credential
Provider Entity Type
Organization
Address
852 S Grand Ave, Glendora, CA, 91740-4806
Phone Number
626-914-4815
Fax Number
626-914-0502
Provider Enumeration Date
09/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SD0107920 05 CA
institution
Provider Business Practice Location Address Details
Address
852 S Grand Ave
City
Glendora
State
California
Zip
91740-4806
Phone Number
626-914-4815
Fax Number
626-914-0502
person
Provider Business Mailing Address Details
Address
852 S Grand Ave
City
Glendora
State
California
Zip
91740-4806
Phone Number
626-914-4815
Fax Number
626-914-0502
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
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Definition
Definition to come...
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