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Organization
JONATHAN CHAN O.D. INC
Active
Organization
JONATHAN CHAN O.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CHAN OD (PRESIDENT)
(562) 537-8687
Entity
Organization
Contact information
Practice address
2615 TUSCANY ST, CORONA, CA 92881
(951) 268-3036
Mailing address
1845 MAJESTIC DR, CORONA, CA 92880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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