Marisa Chung OD

NPI 1689868978 - Optometrist - 152W00000X

NPI Details
NPI 1689868978
Gender Female
Enumeration Date 08/30/2007
Last Updated 11/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 STEIN PLAZA
SUITE I-340
LOS ANGELES CA, 90024-0001, US
Phone (310) 825-3090
Fax
Business Location
PO BOX 24DD5
WESTWOOD STATION
LOS ANGELES CA, 90024-0001, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number OPT 13321
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According to our database, Marisa Chung OD NPI is 1689868978, taxonomy code is 152W00000X and license number is OPT 13321, license state is located at California. Marisa Chung OD physically located at 200 Stein Plaza, Los Angeles CA, 90024-0001. NPI Number Marisa Chung OD has the Individual type.

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1689868978 NPI number is provided on an as is basis without warranty of any kind. 1689868978 is maintained by the National Plan & Provider Enumeration System. The contents of Marisa Chung OD are for informational purposes only.