De La Pena Eye Clinic, a Medical Group, INC

NPI #1114540077 in Whittier, California

Provider Information

NPI Number: 1114540077
Entity Type: Organization
Organization Name: De La Pena Eye Clinic, a Medical Group, INC
Primary Specialty: Ophthalmology
Enumeration Date: May 26, 2020
Last Updated: May 26, 2020

Practice Location

Address: 7749 PAINTER AVE
City: Whittier
State: California
ZIP Code: 90602-2411
Phone: (323) 728-5500

Authorized Official

Name: MARK KELLY
Title: MEMBER, BOARD OF MANAGERS
Phone: (615) 760-6593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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