Individual
DR. CHAN NHU DIEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11540 SANTA MONICA BLVD STE 202, LOS ANGELES, CA 90025
(310) 473-5464
(310) 473-2536
Mailing address
11540 SANTA MONICA BLVD STE 202, LOS ANGELES, CA 90025-7905
(310) 473-5464
(310) 473-2536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007640
NY
152W00000X
Optometrist
Primary
14049
CA
Other
Enumeration date
11/05/2010
Last updated
07/05/2019
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