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Organization
LINA THAN OD INC
Active
Organization
LINA THAN OD INC
Active
Other names
LT Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA NGOC THAN O.D. (CEO)
(714) 775-3237
Entity
Organization
Contact information
Practice address
9842 BOLSA AVE STE 104, WESTMINSTER, CA 92683-6686
(714) 775-3237
Mailing address
9842 BOLSA AVE STE 104, WESTMINSTER, CA 92683-6686
(714) 775-3237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0130910
—
CA
Enumeration date
09/20/2007
Last updated
07/08/2010
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