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: |