Loretta M Li Od

NPI 1215127550 - Optometrist - 152W00000X

NPI Details
NPI 1215127550
Enumeration Date 08/01/2007
Last Updated 08/01/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LORETTA MUI WAN LORETTA
Position OWNER
Phone (714) 892-3636
Fax (714) 892-6273
Practice Location
9022 BOLSA AVE
WESTMINSTER CA, 92683, US
Phone (714) 892-3636
Fax (714) 892-6273
Business Location
9022 BOLSA AVE
WESTMINSTER CA, 92683, US
Phone (714) 892-3636
Fax (714) 892-6273
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 124597
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According to our database, Loretta M Li Od NPI is 1215127550, taxonomy code is 152W00000X and license number is 124597, license state is located at California. Loretta M Li Od physically located at 9022 Bolsa Ave, Westminster CA, 92683. NPI Number 1033115704 has the healthcare provider type.

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1215127550 NPI number is provided on an as is basis without warranty of any kind. 1215127550 is maintained by the National Plan & Provider Enumeration System. The contents of Loretta M Li Od are for informational purposes only.