R Alex Mancilla Od PC
NPI #1750169017 in Imperial, California
Provider Information
- NPI Number
- 1750169017
- Entity Type
- Organization
- Organization Name
- R Alex Mancilla Od PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 18, 2023
- Last Updated
- Feb 2, 2024
Practice Location
- Address
- 435 W ATEN RD STE 3
- City
- Imperial
- State
- California
- ZIP Code
- 92251-9819
- Phone
- (619) 370-7315
Authorized Official
- Name
- RAUL A MANCILLA, OD
- Title
- PRESIDENT/DOCTOR
- Phone
- (619) 370-7315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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