NPI Search for Physicians and Health Care Providers
MRS. DIANA ISABEL IRAHETA O.D
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1932205226
Individual Registrant:
MRS. DIANA ISABEL IRAHETA O.D
Gender: F
Sole Proprietor
Location and contact information for practice:
30668 BENTON RD # B-101 WINCHESTER, CA 92696 US
Tel: 951-926-4411 Fax: --
Contact information for business:
40386 AMESBURY LN TEMECULA, CA 92591-4432 US
Tel: 310-259-5310 Fax: --
Registration Information:
NPI: 1932205226
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 152W00000X | Eye and Vision Services Providers Optometrist
| CA | OPT 13168 |
Legacy codes, insurance codes and state license numbers:
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