Individual
DONGWUK KOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4790 IRVINE BLVD SUIT 105-180, IRVINE, CA 92620
(562) 677-5541
(562) 202-5154
Mailing address
4790 IRVINE BLVD STE 105-180, IRVINE, CA 92620-1973
(562) 677-5541
(562) 202-5154
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
195239
CA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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