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Individual
DR. DANIEL T KHONG
Active
Individual
DR. DANIEL T KHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1185-338T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162990
—
LA
01
—
5045870001
PTAN
LA
01
—
7346355
CIGNA
LA
Enumeration date
09/26/2006
Last updated
07/16/2020
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