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Organization
JIMMY K. SO, OD, INC.
Active
Organization
JIMMY K. SO, OD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY K. SO O.D. (PRESIDENT)
(909) 982-9366
Entity
Organization
Contact information
Practice address
1261 W FOOTHILL BLVD STE B, UPLAND, CA 91786-8019
(909) 982-9366
(909) 982-2477
Mailing address
1261 W FOOTHILL BLVD STE B, UPLAND, CA 91786-8019
(909) 982-9366
(909) 982-2477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10554T
CA
152WC0802X
Corneal and Contact Management Optometrist
10554T
CA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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