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DR. PONEH ALAVI OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1316134653

Individual Registrant:
DR. PONEH  ALAVI OD
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

Contact information for business:
25450 THE OLD RD  STEVENSON RANCH, CA 91381-1704 US
Tel: 661-253-3662  Fax: 661-253-4407

Registration Information:
NPI: 1316134653
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA13233T

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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