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Doctors / CA
OPTOMETRY
Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1969
NPI: 1669511713
5530 TANOAK LN, APT 282
OAK PARK, CA 913775408
14914 SHERMAN WAY
VAN NUYS, CA 914052113
Source: CMS National Downloadable File, September 2026.