Elaine S Fong-yim OD

NPI 1043387814 - Optometrist - 152W00000X

NPI Details
NPI 1043387814
Gender Female
Enumeration Date 11/29/2006
Last Updated 11/17/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
4733 W SUNSET BLVD
LOS ANGELES CA, 90027-6021, US
Phone (323) 783-4011
Fax
Business Location
4733 W SUNSET BLVD
LOS ANGELES CA, 90027-6021, US
Phone (323) 783-4011
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number OPT7952TPA
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According to our database, Elaine S Fong-yim OD NPI is 1043387814, taxonomy code is 152W00000X and license number is OPT7952TPA, license state is located at California. Elaine S Fong-yim OD physically located at 4733 W Sunset Blvd, Los Angeles CA, 90027-6021. NPI Number Elaine S Fong-yim OD has the Individual type.

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1043387814 NPI number is provided on an as is basis without warranty of any kind. 1043387814 is maintained by the National Plan & Provider Enumeration System. The contents of Elaine S Fong-yim OD are for informational purposes only.