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DR. GLORIA ESTRADA O.D

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1992937197

Individual Registrant:
DR. GLORIA  ESTRADA O.D
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1530 HEDGEPATH AVE  HACIENDA HTS, CA 91745-3233 US
Tel: 626-664-7315  Fax: --

Contact information for business:
393 E WALNUT ST  PASADENA, CA 91188-0001 US
Tel: 626-664-7315  Fax: --

Registration Information:
NPI: 1992937197
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA13843
N152WC0802XEye and Vision Services Providers
Optometrist
CA13843

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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