Park Avenue Optometry INC

NPI #1508018748 in Pomona, California

Provider Information

NPI Number: 1508018748
Entity Type: Organization
Organization Name: Park Avenue Optometry INC
Primary Specialty: Optometrist
Enumeration Date: Oct 21, 2008
Last Updated: Apr 16, 2010

Practice Location

Address: 648 N PARK AVE
City: Pomona
State: California
ZIP Code: 91768-3621
Phone: (909) 622-3531

Authorized Official

Name: DR. RUDOLPH GARCIA ALANIS, O.D.
Title: PRESIDENT
Phone: (909) 622-3531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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