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DR. PONEH ALAVI OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1316134653
Individual Registrant:DR. PONEH ALAVI OD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
25450 THE OLD RD STEVENSON RANCH, CA 91381-1704 US
Tel: 661-253-3662 Fax: 661-253-4407
Tel: 661-253-3662 Fax: 661-253-4407
Contact information for business:
25450 THE OLD RD STEVENSON RANCH, CA 91381-1704 US
Tel: 661-253-3662 Fax: 661-253-4407
Tel: 661-253-3662 Fax: 661-253-4407
Registration Information:
NPI: 1316134653
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CA | 13233T |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
