Individual
CAROLINE MY NGHI QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10940 SANTA MONICA BLVD, LOS ANGELES, CA 90025-4539
(310) 966-5030
Mailing address
10940 SANTA MONICA BLVD, LOS ANGELES, CA 90025-4539
(310) 966-5030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35390
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/18/2021
Last updated
01/13/2025
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