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Individual

DR. ANDREA QUIMPO MAGBANUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
171 W 223RD ST APT 6, CARSON, CA 90745-3734
(310) 592-9700
Mailing address
171 W 223RD ST APT 6, CARSON, CA 90745-3734
(310) 592-9700

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT34107TLG
CA

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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