Individual
CHRISTINA LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5250 PHILADELPHIA ST STE D, CHINO, CA 91710
(909) 628-1226
Mailing address
5250 PHILADELPHIA ST STE D, CHINO, CA 91710-2483
(909) 628-1226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33702TLG
CA
Other
Enumeration date
07/06/2017
Last updated
08/28/2018
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