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Organization
OPTOMETRX
Active
Organization
OPTOMETRX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN KWAN YANG LO O.D. (CHIEF EXECUTIVE OFFICER)
(626) 610-6727
Entity
Organization
Contact information
Practice address
17134B COLIMA ROAD, HACIENDA HEIGHTS, CA 91745
(626) 610-6727
Mailing address
17134B COLIMA ROAD, HACIENDA HEIGHTS, CA 91745
(626) 610-6727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA9910T
CA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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