SUSAN KASPIAN, O.D.
Managed Care Organizations at Pacific Coast Hwy, Lomita, CA

License number
California 13200
Category
Managed Care Organizations
Type
Exclusive Provider Organization
License number
California 13200
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. SUSAN J. KASPIAN O.D.
Title: PRESIDENT/OWNER
Phone: (310) 325-0986
Address
Address
1735 Pacific Coast Hwy, Lomita, CA 90717
National Provider ID: 1639443120
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUSAN KASPIAN, O.D

Lomita, CA  -  Redondo Beach, CA

Industry:
Nonclassifiable Establishments, Optometrist's Office
Registration:
Dec 27, 2011
Addresses:
1735 Pacific Coast Hwy, Lomita, CA 90717 (Physical)
1970 S Prospect Ave, Redondo Beach, CA 90277
State ID:
C3437943
Business type:
Articles of Incorporation
Presidents:
Susan Kaspian (President),Suan Kaspian President, inactive

Managed Care Organizations licenses in California

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