Most Relevant Information
Provider Data
| NPI Number: | 1003535659 |
| Provider Name: | DEBORAH CARRASCO OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 10977T |
Most Important Dates
| Enumeration Date: | 08/25/2022 |
| Last Updated: | 09/29/2022 |
Provider Practice Location
520 N PROSPECT AVE STE 206
REDONDO BEACH
CA
902773042
Practice Location Phone/Fax
| Phone: | 3103768850 |
| Fax: | 3107989228 |
Provider Mailing Location
520 N PROSPECT AVE STE 206
REDONDO BEACH
CA
902773042
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |