Individual
ANNIE CHINWEN HU-DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1059 GAYLEY AVE, LOS ANGELES, CA 90024-3401
(310) 208-3604
(310) 208-6831
Mailing address
1059 GAYLEY AVE, LOS ANGELES, CA 90024-3401
(310) 208-3604
(310) 208-6831
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
11896T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GY195A
MEDICARE PTAN
CA
01
—
W22097
MEDICARE GROUP PTAN
CA
Enumeration date
04/10/2006
Last updated
03/07/2013
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