Kelly Mui O.D.

NPI 1063401719 - Optometrist - 152W00000X

NPI Details
NPI 1063401719
Gender Female
Enumeration Date 10/17/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
11777 SAN VICENTE BLVD
SUITE 130
LOS ANGELES CA, 90049-5011, US
Phone (310) 820-2020
Fax
Business Location
3435 OCEAN PARK BLVD
SUITE 107 PMB 88
SANTA MONICA CA, 90405-3301, US
Phone (510) 220-1779
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 12896
Remove 1063401719 NPI Number
 

According to our database, Dr. Kelly Mui O.D. NPI is 1063401719, taxonomy code is 152W00000X and license number is 12896, license state is located at California. Kelly Mui O.D. physically located at 11777 San Vicente Blvd, Los Angeles CA, 90049-5011. NPI Number Kelly Mui O.D. has the Individual type.

Sponsored links

1063401719 NPI number is provided on an as is basis without warranty of any kind. 1063401719 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Mui O.D. are for informational purposes only.