Del Amo Optometry a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

8987T Issued in CA

Legal business name

DEL AMO OPTOMETRY A PROFESSIONAL CORPORATION

Practice address

4505 Sepulveda Blvd
Torrance, CA 90505-2207

Phone

(310) 792-2020

Fax

(310) 792-2021

NPI assigned

Oct 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Louise Irene Quick, O.D.

Title

Owner

Phone

(310) 370-5683

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1003998261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052207",
            "telephone_number": "310-370-5683",
            "fax_number": "310-370-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052207",
            "telephone_number": "310-792-2020",
            "fax_number": "310-792-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL AMO OPTOMETRY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-370-5683",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8987T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Dejkunchorn, D.C.
• Del Amo Dermatology a Medical Corp
• Del Amo Family Medical Group Inc
• Del Amo Gardens Convalescent Center, LLC
• Del Amo Hospital, Inc
• Del Amo Pet Imaging Center LLC
• Del Amo Professional Pharmacy
• Del Amo Smiles Dentistry, Prof. Corp
• Ashley Del Angel
• Patrick Z. Del Conte, MS, C.T.R.S.

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.