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Organization
VISION SAN GABRIEL OPTOMETRY, INC.
Active
Organization
VISION SAN GABRIEL OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES Y. CHUNG O.D. (PRESIDENT)
(626) 288-8097
Entity
Organization
Contact information
Practice address
720 E VALLEY BLVD, SAN GABRIEL, CA 91776-3547
(626) 288-8097
(626) 288-8360
Mailing address
720 E VALLEY BLVD, SAN GABRIEL, CA 91776-3547
(626) 288-8097
(626) 288-8360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11494T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0114940
—
CA
Enumeration date
03/06/2007
Last updated
08/22/2020
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