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NPI 1447873070 · live from the CMS NPI Registry

Laila Brown-Aijala, OD

Optometrist in Indio, CA. National Provider Identifier 1447873070, active.

NPI record

NPI1447873070 Type 1 · individual
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location82227 Us Highway 111, Indio, CA 92201
Practice phone760-347-6636
Mailing address1700 S Araby Dr Apt 92, Palm Springs, CA 92264
EnumeratedMay 18, 2020
Last updatedMay 13, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist152W00000XOPT.0003585 (CO)
Student in an Organized Health Care Education/Training Program390200000X—
Optometrist primary152W00000X34808 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.