Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maylin Gonzalez OD an Optometric Corporation

Organization Optometrist · NPI 1811233984

Maylin Gonzalez OD an Optometric Corporation is an Optometrist in Los Angeles, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

12222 Wilshire Blvd Ste 105
Los Angeles, CA 90025-1173
Phone: (424) 208-3107
Fax: (424) 208-3065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1811233984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maylin Gonzalez — President/Owner · (424) 208-3107
NPI enumeratedDecember 18, 2012
Last updated in NPPESDecember 18, 2012
Mailing address12222 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1173

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