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Organization
XUSHAO HUANG OD INC
Active
Organization
XUSHAO HUANG OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XUSHAO HUANG O.D. (PRESIDENT AND CEO)
(626) 758-0965
Entity
Organization
Contact information
Practice address
46883 MONROE ST, SUITE 200, INDIO, CA 92201-5547
(760) 600-7200
(760) 841-0543
Mailing address
74539 MOSS ROSE DR, PALM DESERT, CA 92260-3132
(626) 758-0965
(760) 841-5403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13213
CA
Other
Enumeration date
10/17/2012
Last updated
01/02/2014
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