Wald, Alissa Sue
Wald, Alissa Sue is an sole proprietor health care provider with primary practice located at 1545 Adams Ave Suite 100, Costa Mesa CA 92626-3814. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wald, Alissa Sue can be contacted via phone (714) 545-9162.Contact Information
Primary practice address
1545 Adams Ave Suite 100
Costa Mesa CA 92626-3814
Phone: (714) 545-9162
Fax: (714) 241-1345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9377TPL | California |
Profile Details
| NPI number | 1720132251 |
|---|---|
| LBN Legal business name | Wald, Alissa Sue |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Sep 25th, 2021 - about 3 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 | 1720132251 | NPPES |
| California | MEDICAID | 7145459162 |
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