Kt Tonnu An Optometric Corporation

NPI 1295831485 - Optometrist - 152W00000X

NPI Details
NPI 1295831485
Enumeration Date 09/15/2006
Last Updated 09/17/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIEUTIEN PHAN KIEUTIEN
Position PRESIDENT
Phone (909) 620-4546
Fax (909) 620-4546
Practice Location
1101 E HOLT AVE
STE D
POMONA CA, 91767-5800, US
Phone (909) 620-4546
Fax (909) 620-4546
Business Location
1101 E HOLT AVE
STE D
POMONA CA, 91767-5800, US
Phone (909) 620-4546
Fax (909) 620-4546
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10429T
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According to our database, Kt Tonnu An Optometric Corporation NPI is 1295831485, taxonomy code is 152W00000X and license number is 10429T, license state is located at California. Kt Tonnu An Optometric Corporation physically located at 1101 E Holt Ave, Pomona CA, 91767-5800. NPI Number 1033115704 has the healthcare provider type.

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1295831485 NPI number is provided on an as is basis without warranty of any kind. 1295831485 is maintained by the National Plan & Provider Enumeration System. The contents of Kt Tonnu An Optometric Corporation are for informational purposes only.