Gina C Shao O.D.

NPI 1023113107 - Optometrist - 152W00000X

NPI Details
NPI 1023113107
Gender Female
Enumeration Date 09/14/2006
Last Updated 06/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2322 E THOUSAND OAKS BLVD
THOUSAND OAKS CA, 91362-3206, US
Phone (805) 557-1055
Fax
Business Location
2322 E THOUSAND OAKS BLVD
THOUSAND OAKS CA, 91362-3206, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 12441T
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According to our database, Gina C Shao O.D. NPI is 1023113107, taxonomy code is 152W00000X and license number is 12441T, license state is located at California. Gina C Shao O.D. physically located at 2322 E Thousand Oaks Blvd, Thousand Oaks CA, 91362-3206. NPI Number Gina C Shao O.D. has the Individual type.

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1023113107 NPI number is provided on an as is basis without warranty of any kind. 1023113107 is maintained by the National Plan & Provider Enumeration System. The contents of Gina C Shao O.D. are for informational purposes only.