Alejandro M. Arredondo, O. D. Optometric Corporation
Organization Active NPI Optometrist · Maywood, CA
NPI 1679005607 · NPPES record last updated Mar 29, 2017
Key facts
- NPI
- 1679005607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT 8658 TPG (CA)
- Legal business name
- ALEJANDRO M. ARREDONDO, O. D. OPTOMETRIC CORPORATION
- Practice address
- 4349 Slauson Ave Ste a
Maywood, CA 90270-3802 - Phone
- (323) 581-0117
- Fax
- (323) 562-4445
- NPI assigned
- Mar 29, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Alejandro M Arredondo, O.D.
- Title
- President
- Phone
- (323) 581-0117
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPT 8658 TPG | CA | Yes |
Addresses
Primary practice location
4349 Slauson Ave Ste a
Maywood, CA 90270-3802
Mailing address
4349 Slauson Ave Ste a
Maywood, CA 90270-3802
Phone (323) 581-0117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0086582 | Medicaid | CA |
Other providers in Maywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.