South Gate Optometry INC
NPI #1154514370 in South Gate, California
Provider Information
- NPI Number
- 1154514370
- Entity Type
- Organization
- Organization Name
- South Gate Optometry INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 21, 2007
- Last Updated
- Feb 19, 2009
Practice Location
- Address
- 3329 TWEEDY BLVD
- City
- South Gate
- State
- California
- ZIP Code
- 90280-4324
- Phone
- (323) 566-6183
Authorized Official
- Name
- DR. ANNA M PENNINO, O.D.
- Title
- OWNER
- Phone
- (323) 566-6183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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