Van T. Ly Od Inc.

NPI 1811188980 - Optometrist - 152W00000X

NPI Details
NPI 1811188980
Enumeration Date 08/05/2007
Last Updated 08/05/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VAN T. VAN
Position OPTOMETRIST
Phone (818) 353-7575
Fax (818) 353-8925
Practice Location
8043 FOOTHILL BLVD
SUNLAND CA, 91040-2957, US
Phone (818) 353-7575
Fax (818) 353-8925
Business Location
8043 FOOTHILL BLVD
SUNLAND CA, 91040-2957, US
Phone (818) 353-7575
Fax (818) 353-8925
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10812T
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According to our database, Van T. Ly Od Inc. NPI is 1811188980, taxonomy code is 152W00000X and license number is 10812T, license state is located at California. Van T. Ly Od Inc. physically located at 8043 Foothill Blvd, Sunland CA, 91040-2957. NPI Number 1033115704 has the healthcare provider type.

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1811188980 NPI number is provided on an as is basis without warranty of any kind. 1811188980 is maintained by the National Plan & Provider Enumeration System. The contents of Van T. Ly Od Inc. are for informational purposes only.