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Organization
LOS CERRITOS OPTOMETRY, INC.
Active
Organization
LOS CERRITOS OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHENH VONG OD (PRESIDENT)
(562) 865-2020
Entity
Organization
Contact information
Practice address
326 LOS CERRITOS MALL, CERRITOS, CA 90703-5425
(562) 865-2020
(562) 865-2064
Mailing address
326 LOS CERRITOS MALL, CERRITOS, CA 90703-5425
(562) 865-2020
(562) 865-2064
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12181T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0121810
—
CA
Enumeration date
11/07/2008
Last updated
11/07/2008
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