Individual
DR. CYNTHIA ARATA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12461 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5511
(310) 390-6287
Mailing address
5792 SHIRL ST, CYPRESS, CA 90630-3325
(714) 220-8698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTAN - WY5748
MEDICARE PTAN
CA
Enumeration date
07/06/2007
Last updated
02/08/2021
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