Ugalde, Raul

Ugalde, Raul is an individual health care provider with primary practice located at 8464 California Ave , South Gate CA 90280. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ugalde, Raul can be contacted via phone (323) 569-3570.

Contact Information

Primary practice address
8464 California Ave South Gate CA 90280
Fax: (323) 569-2046
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8886T California

Profile Details

NPI number 1659441434
LBN Legal business name Ugalde, Raul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659441434 NPPES
California MEDICAID SD0088862

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