Individual
IRIN PANSAWIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4455 W 117TH ST STE 105, HAWTHORNE, CA 90250-2240
(424) 456-6200
Mailing address
4455 W 117TH ST STE 105, HAWTHORNE, CA 90250-2240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15319
CA
Other
Enumeration date
06/30/2015
Last updated
03/25/2024
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