Individual
JENNIFER HUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4605 BROCKTON AVE STE 100, RIVERSIDE, CA 92506-0107
(951) 686-4911
(951) 686-9409
Mailing address
4605 BROCKTON AVE STE 100, RIVERSIDE, CA 92506-0107
(951) 686-4911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT33394-TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT33394-TLG
CA STATE LICENSE
CA
Enumeration date
05/17/2016
Last updated
10/15/2024
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