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Contact Information

AMAAL ODISH OD INC
844 E WASHINGTON AVE
EL CAJON, CA92020
 Phone: 619-447-1139
 Fax: 619-447-6239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AMAAL ODISH OD INC

NPI # 1326019027
LBN Legal business name AMAAL ODISH OD INC
Authorized official AMAAL ODISH - (CEO DOCTOR OF OPTOMETRY)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2006
Last updated 05/06/2010 - About 16 years ago
Identifiers
CA License # 11379TPA
CA Medicaid SD0113790
CA Other CA1379 EYEMED
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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