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Contact Information

MERCEDEH MOTAMENI, O.D., AN OPTOMETRIC CORPORATION
4125 SEPULVEDA BLVD
CULVER CITY, CA90230-4706
 Phone: 310-391-6311
 Fax: 310-390-1874
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for MERCEDEH MOTAMENI OD AN OPTOMETRIC CORPORATION · (Female)

NPI # 1437422185
Status Active
Credentials
Entity Individual
Enumeration date 02/10/2012
Last updated 01/10/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 9453T
  • CA Medicaid SD0094530
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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