Individual
DR. IRENE DIEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1001 S BROADWAY STE F, LOS ANGELES, CA 90015
(213) 749-9966
(213) 277-5865
Mailing address
1001 S BROADWAY STE F, LOS ANGELES, CA 90015-4034
(213) 749-9966
(213) 277-5865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13166T
CA
Other
Enumeration date
07/26/2007
Last updated
08/01/2018
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