Individual
CHRISTY CHU-PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1939 GRAND AVE, SAN DIEGO, CA 92109-4508
(858) 272-2211
Mailing address
1939 GRAND AVE, SAN DIEGO, CA 92109-4508
(858) 272-2211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10756T
CA
Other
Enumeration date
11/22/2005
Last updated
10/07/2011
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