Peninsula Eyecare Medical Associates

NPI #1033131933 in San Pedro, California

Provider Information

NPI Number: 1033131933
Entity Type: Organization
Organization Name: Peninsula Eyecare Medical Associates
Primary Specialty: Ophthalmology
Enumeration Date: Jul 23, 2006
Last Updated: Apr 24, 2024

Practice Location

Address: 800 S PACIFIC AVE STE A
City: San Pedro
State: California
ZIP Code: 90731-3267
Phone: (310) 547-9991

Authorized Official

Name: KENNETH JOEL MILLER, MD
Title: PRESIDENT
Phone: (310) 547-9991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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