Laila Mousavi (NPI# 1033405568, PAC ID# 5294990511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1033405568 |
| PAC ID by PECOS | 5294990511 |
| Professional Enrollment ID | I20120711000268 |
| Full Name | Laila Mousavi |
| Organization Legal Name | SPECTRUM EYECARE OPTOMETRY INC |
| Address |
425 W Bonita Ave 110b San Dimas CA 91773-2541 |
| Phone Number | 9093940462 |
| Gender | F |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5193821353 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 | 9093940462 | SPECTRUM EYECARE OPTOMETRY INC |
| Organization Legal Name | SPECTRUM EYECARE OPTOMETRY INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Swearingen | Optometry | Spectrum Eyecare Optometry Inc | 1335 N Waterman Ave, San Bernardino, CA 92404-5312 |
| Diana Lynn Holcomb | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Julie T Lam | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Ashley Nakamura | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Melissa Rong Xia Zhao | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Lauren T Fiscale | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Lorna Reyes | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, San Dimas, CA 91773-2541 |
| Street Address |
425 W BONITA AVE 110B |
| City | SAN DIMAS |
| State | CA |
| Zip | 91773-2541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ira Diamond | Podiatry | 425 W Bonita Ave, Suite 110, San Dimas, CA 91773-2543 | |
| Diana Lynn Holcomb | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| William G Ayoub | Podiatry | 425 W Bonita Ave, Suite 110, San Dimas, CA 91773-2543 | |
| Julie T Lam | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Ashley Nakamura | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Melissa Rong Xia Zhao | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Michael K Fairbanks | Podiatry | 425 W Bonita Ave, Suite 110, San Dimas, CA 91773-2543 | |
| Lauren T Fiscale | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, 110b, San Dimas, CA 91773-2541 |
| Lorna Reyes | Optometry | Spectrum Eyecare Optometry Inc | 425 W Bonita Ave, San Dimas, CA 91773-2541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norma E Bachoura | Family Medicine | Norma Bachoura M D Inc | 150 W Foothill Blvd, San Dimas, CA 91773-1102 |
| Ma Koreena Yu | Physician Assistant | Norma Bachoura M D Inc | 150 W Foothill Blvd, San Dimas, CA 91773-1102 |
| Clifford L Sussman | Internal Medicine | 150 W Foothill Blvd, San Dimas, CA 91773-1103 | |
| Thomas P Delaney | Psychologist, Clinical | 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773-1200 | |
| Lorane M Dick | Family Medicine | 554 E Foothill Blvd, Suite 120, San Dimas, CA 91773-1222 | |
| Lorrie Hill Crawford | Psychologist, Clinical | 554 E Foothill Blvd, Suite 106, San Dimas, CA 91773-1222 | |
| Judy C Lee | Family Medicine | Southern California Permanente Medical Group | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 |
| Adrienne A Hill | Family Medicine | Southern California Permanente Medical Group | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 |
| Yu Liu | Family Medicine | Southern California Permanente Medical Group | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 |
| Monica M Perez | Obstetrics/gynecology | Southern California Permanente Medical Group | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 |
| Find all physicians in zip 91773 | |||
| City | SAN DIMAS |
| Zip Code | 91773 |
| Specialty | OPTOMETRY |
| City + Specialty | SAN DIMAS + OPTOMETRY |
Please comment or provide details below to improve the information on Laila Mousavi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.