Motameni, Mercedeh
Motameni, Mercedeh is an individual health care provider with primary practice located at 4125 Sepulveda Blvd , Culver City CA 90230-4706. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Motameni, Mercedeh can be contacted via phone (310) 391-6311.Contact Information
Primary practice address
4125 Sepulveda Blvd
Culver City CA 90230-4706
Phone: (310) 391-6311
Fax: (310) 390-1874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9453T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 9453T | California |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 9453T | California |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 9453T | California |
Profile Details
| NPI number | 1841343647 |
|---|---|
| LBN Legal business name | Motameni, Mercedeh |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 11th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841343647 | NPPES |
| California | MEDICAID | SD0094530 |
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