1174700157

Everything you always wanted to know about URIBE N MARIA OD but were afraid to ask.

URIBE N MARIA OD

You can also download the this 1174700157 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
URIBE N MARIA OD
Gender:
Female
Enumeration date:
2008-01-22
Last update date:
2008-01-22
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207W00000X Ophthalmology CA OPT 13197 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3233612337
Mailing Address Fax Number 3233618491
Practice Location Address Telephone Number 3233612344

Addresses

Type Address City State Postal Country
Mailing Address 6430 W SUNSET BLVD STE 600 LOS ANGELES CA 90028 CA
Practice Location Address 4650 W SUNSET BLVD # 88 LOS ANGELES CA 0 CA

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